REGENT MEDICAL AND AESTHETIC CLINIC NPI 1477021053

NPI Information

NPI: 1477021053
Provider Name: REGENT MEDICAL AND AESTHETIC CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2177583

Address:
1209 N CENTER ST
PERRY, FL
ZIP 32347
Phone: (850) 843-1834
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REGENT MEDICAL AND AESTHETIC CLINIC is a primary care clinic center in Perry, FL. REGENT MEDICAL AND AESTHETIC CLINIC NPI is 1477021053. The provider is registered as an organization entity type.

The provider's business location address is:

1209 N CENTER ST
PERRY, FL
ZIP 32347-037
Phone: (850) 843-1834

The provider's authorized official is Dulcie Marie Yelverton .
The authorized official title is Owner and has the following contact phone number (850) 843-1834.

The CLIA number assigned to this NPI record is 10D2177583 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/13/2018 and was last updated on 3/5/2019.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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

NPI Synchronization or Removal

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