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MERRITT ISLAND WALK IN CLINIC LLC NPI 1326451725


NPI Information

NPI: 1326451725
Provider Name: MERRITT ISLAND WALK IN CLINIC LLC

Doing Business As: MERRITT ISLAND WALK IN CLINIC FAMILY MEDICINE

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
1045 N COURTENAY PKWY
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 452-9255
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MERRITT ISLAND WALK IN CLINIC LLC is a non pharmacy dispensing site in Merritt Island, FL. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) MERRITT ISLAND WALK IN CLINIC LLC NPI is 1326451725. The provider is registered as an organization entity type.
The provider Is Doing Business As Merritt Island Walk In Clinic Family Medicine.

The provider's business location address is:

1045 N COURTENAY PKWY
MERRITT ISLAND, FL
ZIP 32953-531
Phone: (321) 452-9255

The provider's authorized official is Kenny Heine .
The authorized official title is Vp Of Operations and has the following contact phone number (858) 964-1506.

The enumeration date for this NPI number is 6/4/2014 and was last updated on 6/4/2014.


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
1332900000XNon-Pharmacy Dispensing SiteME95111FLORIDAYes

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: 5/5/2024

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