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ROYAL OAK MEDICAL CENTER LLC NPI 1316418577


NPI Information

NPI: 1316418577
Provider Name: ROYAL OAK MEDICAL CENTER LLC

Doing Business As: CHARACTER FAMILY HEALTHCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2059104

Address:
821 OAKLEY SEAVER DR
CLERMONT, FL
ZIP 34711
Phone: (352) 989-4397
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ROYAL OAK MEDICAL CENTER LLC is a primary care clinic center in Clermont, FL. ROYAL OAK MEDICAL CENTER LLC NPI is 1316418577. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Character Family Healthcare.

The provider's business location address is:

821 OAKLEY SEAVER DR
CLERMONT, FL
ZIP 34711-968
Phone: (352) 989-4397

The provider's authorized official is Matthew Smith .
The authorized official title is Medical Director and has the following contact phone number (310) 721-3793.

The CLIA number assigned to this NPI record is 10D2059104 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2018 and was last updated on 2/27/2020.


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
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

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
1277908100MEDICAIDFLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.