FLT LLC NPI 1366810970

NPI Information

FLT LLC is a family nurse practitioner in Roswell, NM. FLT LLC NPI is 1366810970. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ocotillo Family Practice.

The provider's business location address is:

313 W COUNTRY CLUB RD STE 15
ROSWELL, NM
ZIP 88201-804
Phone: (575) 914-0055

The provider's authorized official is Dawn Wulf .
The authorized official title is Owner and has the following contact phone number (575) 914-0055.

The CLIA number assigned to this NPI record is 32D2104909 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2015 and was last updated on 9/14/2015.

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:

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.