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SILVER WINGS INDEPENDENCE AT HOME LLC NPI 1407128234


NPI Information

NPI: 1407128234
Provider Name: SILVER WINGS INDEPENDENCE AT HOME LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
6279 PARK BLVD N
PINELLAS PARK, FL
ZIP 33781
Phone: (727) 548-1232
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SILVER WINGS INDEPENDENCE AT HOME LLC is a geriatric medicine family medicine in Pinellas Park, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. SILVER WINGS INDEPENDENCE AT HOME LLC NPI is 1407128234. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6279 PARK BLVD N
PINELLAS PARK, FL
ZIP 33781-239
Phone: (727) 548-1232
Fax: (727) 548-1182

The provider's authorized official is Laurence Milton Petty .
The authorized official title is Physician and has the following contact phone number (727) 548-1232.

The enumeration date for this NPI number is 2/9/2012 and was last updated on 2/9/2012.


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
1207QG0300XFamily MedicineGeriatric MedicineME68819FLORIDAYes

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

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