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TRICOUNTY SPECIALISTS LLC NPI 1528308095


NPI Information

NPI: 1528308095
Provider Name: TRICOUNTY SPECIALISTS LLC
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
510 CR 466
SUITE 207
LADY LAKE, FL
ZIP 32159
Phone: (352) 240-1146
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TRICOUNTY SPECIALISTS LLC is a neuromusculoskeletal medicine omm in Lady Lake, FL. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. TRICOUNTY SPECIALISTS LLC NPI is 1528308095. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

510 CR 466
SUITE 207
LADY LAKE, FL
ZIP 32159
Phone: (352) 240-1146

The provider's authorized official is William S Maxfield .
The authorized official title is Medical Director and has the following contact phone number (352) 240-1146.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 4/26/2013.


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
1204D00000XNeuromusculoskeletal Medicine & OMMME52212FLORIDANo
2204D00000XNeuromusculoskeletal Medicine & OMMME15266FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ME15266OTHERFLORIDANPI 1134186935

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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