PHOENIX HEALTH ASCENDENCY LLC NPI 1336837665

NPI Information

  • NPI: 1336837665
  • Provider Name: PHOENIX HEALTH ASCENDENCY LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PHOENIX HEALTH
  • Address: 17011 STATE ROAD 50 STE 103
    CLERMONT, FL
    ZIP 34711
  • Phone: (323) 695-3822

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NPI Details

PHOENIX HEALTH ASCENDENCY LLC is a family medicine in Clermont, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHOENIX HEALTH ASCENDENCY LLC NPI is 1336837665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Phoenix Health.

The provider's business location address is:

17011 STATE ROAD 50 STE 103
CLERMONT, FL
ZIP 34711-203
Phone: (323) 695-3822

The provider's authorized official is Heather Diaz .
The authorized official title is Administrator and has the following contact phone number (323) 695-3822.

The enumeration date for this NPI number is 4/25/2023 and was last updated on 5/5/2023.

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
1208D00000XGeneral PracticeNo
2208000000XPediatricsNo
32080A0000XPediatricsAdolescent MedicineNo
4207KA0200XAllergy & ImmunologyAllergyNo
5207Q00000XFamily MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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