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FOREVER YOUNG DIAGNOSTICS NPI 1366194649


NPI Information

NPI: 1366194649
Provider Name: FOREVER YOUNG DIAGNOSTICS
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 10D2254916

Address:
110 LITHIA PINECREST RD STE H
BRANDON, FL
ZIP 33511
Phone: (813) 857-8556
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FOREVER YOUNG DIAGNOSTICS is a health service clinic center in Brandon, FL. FOREVER YOUNG DIAGNOSTICS NPI is 1366194649. The provider is registered as an organization entity type.

The provider's business location address is:

110 LITHIA PINECREST RD STE H
BRANDON, FL
ZIP 33511-300
Phone: (813) 857-8556

The provider's authorized official is Zaranda Young .
The authorized official title is Admin and has the following contact phone number (813) 857-8556.

The CLIA number assigned to this NPI record is 10D2254916 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 2/18/2022.


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
1291U00000XClinical Medical LaboratoryNo
2261QH0100XClinic/CenterHealth ServiceYes

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.