HEALTHVINE MEDICAL GROUP INC NPI 1568826873

NPI Information

NPI: 1568826873
Provider Name: HEALTHVINE MEDICAL GROUP INC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
725 BENTON AVE
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 796-1492
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HEALTHVINE MEDICAL GROUP INC is a rural health clinic center in Brooksville, FL. HEALTHVINE MEDICAL GROUP INC NPI is 1568826873. The provider is registered as an organization entity type.

The provider's business location address is:

725 BENTON AVE
BROOKSVILLE, FL
ZIP 34601-213
Phone: (352) 796-1492

The provider's authorized official is Maria D Doherty .
The authorized official title is President and has the following contact phone number (352) 569-9990.

The enumeration date for this NPI number is 4/12/2016 and was last updated on 4/12/2016.

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	261QR1300X	Clinic/Center	Rural Health		FLORIDA	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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