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ATLANTIC IMMEDICARE LLC NPI 1518199223


NPI Information

NPI: 1518199223
Provider Name: ATLANTIC IMMEDICARE LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 21D0952978

Address:
1001 PHILADELPHIA AVE
OCEAN CITY, MD
ZIP 21842
Phone: (410) 641-9450
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ATLANTIC IMMEDICARE LLC is a general practice in Ocean City, MD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ATLANTIC IMMEDICARE LLC NPI is 1518199223. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1001 PHILADELPHIA AVE
OCEAN CITY, MD
ZIP 21842-735
Phone: (410) 641-9450
Fax: (410) 641-9515

The provider's authorized official is Jim Brannon .
The authorized official title is Vice Pres Of Professional Services and has the following contact phone number (410) 641-9341.

The CLIA number assigned to this NPI record is 21D0952978 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2009 and was last updated on 8/13/2009.


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
1207PE0004XEmergency MedicineEmergency Medical ServicesNo
2207Q00000XFamily MedicineNo
3208D00000XGeneral PracticeYes

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: 5/5/2024

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