COLUMBIA MEDICAL GROUP NPI 1306255237

NPI Information

NPI: 1306255237
Provider Name: COLUMBIA MEDICAL GROUP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2060573

Address:
3907 S JOG RD
GREENACRES, FL
ZIP 33467
Phone: (561) 432-3455
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COLUMBIA MEDICAL GROUP is a family nurse practitioner in Greenacres, FL. COLUMBIA MEDICAL GROUP NPI is 1306255237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3907 S JOG RD
GREENACRES, FL
ZIP 33467-590
Phone: (561) 432-3455

The provider's authorized official is Ramon Voils .
The authorized official title is Administrative Officer and has the following contact phone number (561) 432-3455.

The CLIA number assigned to this NPI record is 10D2060573 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	ARNP9310077	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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