ISA MEDICAL CENTER LLC NPI 1568279255

NPI Information

  • NPI: 1568279255
  • Provider Name: ISA MEDICAL CENTER LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • CLIA Number: 10D2317598
  • Address: 9350 W US-192 HWY
    DAVENPORT, FL
    ZIP 33897
  • Phone: (786) 280-6011

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NPI Details

ISA MEDICAL CENTER LLC is a clinic center in Davenport, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ISA MEDICAL CENTER LLC NPI is 1568279255. The provider is registered as an organization entity type.

The provider's business location address is:

9350 W US-192 HWY
DAVENPORT, FL
ZIP 33897
Phone: (786) 280-6011

The provider's authorized official is Orianna Raaz .
The authorized official title is Manager Member and has the following contact phone number (786) 280-4611.

The CLIA number assigned to this NPI record is 10D2317598 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2024 and was last updated on 12/16/2024.

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
1261Q00000XClinic/CenterYes

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: 3/30/2025

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