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THE REPRODUCTIVE MEDICINE GROUP NPI 1275642100


NPI Information

NPI: 1275642100
Provider Name: THE REPRODUCTIVE MEDICINE GROUP

Doing Business As: THE REPRODUCTIVE MEDICINE GROUP

Classification: Obstetrics & Gynecology - 207VE0102X
Entity Type: Organization

Specialization: Reproductive Endocrinology

CLIA Number: 10D2243573

Address:
612 MEDICAL CARE DR
BRANDON, FL
ZIP 33511
Phone: (813) 661-9114
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THE REPRODUCTIVE MEDICINE GROUP is a reproductive endocrinology obstetrics gynecology in Brandon, FL. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. THE REPRODUCTIVE MEDICINE GROUP NPI is 1275642100. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As The Reproductive Medicine Group.

The provider's business location address is:

612 MEDICAL CARE DR
BRANDON, FL
ZIP 33511-937
Phone: (813) 661-9114

The provider's authorized official is Susan Guy .
The authorized official title is Chief Operating Officer and has the following contact phone number (813) 914-7304.

The CLIA number assigned to this NPI record is 10D2243573 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 5/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyNo
2207VE0102XObstetrics & GynecologyReproductive Endocrinology60 909FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1L800006333OTHERFLORIDAFL STATE LICENSE OF LAB
210D0290313OTHERFLORIDACLIA NUMBER OF LAB
321547OTHERFLORIDAGROUP BCBS NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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