LOUIS J RADNOTHY DO PA NPI 1578639209

NPI Information

  • NPI: 1578639209
  • Provider Name: LOUIS J RADNOTHY DO PA
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • CLIA Number: 10D0274102
  • Address: 390 S CENTRAL AVE
    UMATILLA, FL
    ZIP 32784
  • Phone: (352) 669-3175

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NPI Details

LOUIS J RADNOTHY DO PA is a rural health clinic center in Umatilla, FL. LOUIS J RADNOTHY DO PA NPI is 1578639209. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

390 S CENTRAL AVE
UMATILLA, FL
ZIP 32784-325
Phone: (352) 669-3175
Fax: (352) 669-3640

The provider's authorized official is Dharti Bisht .
The authorized official title is Practice Administrator and has the following contact phone number (352) 669-3175.

The CLIA number assigned to this NPI record is 10D0274102 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 7/3/2023.

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
1207R00000XInternal MedicineNo
2363AM0700XPhysician AssistantMedicalNo
3363L00000XNurse PractitionerNo
4261QR1300XClinic/CenterRural HealthYes

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: 11/21/2025

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