MODO BIO LLC NPI 1609450089

NPI Information

  • NPI: 1609450089
  • Provider Name: MODO BIO, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 11225 WILLOW GARDENS DR
    WINDERMERE, FL
    ZIP 34786
  • Phone: (480) 681-0406

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NPI Details

MODO BIO, LLC is a family medicine in Windermere, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MODO BIO, LLC NPI is 1609450089. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11225 WILLOW GARDENS DR
WINDERMERE, FL
ZIP 34786-020
Phone: (480) 681-0406

The provider's authorized official is Gary Visser .
The authorized official title is Medical Director and has the following contact phone number (480) 681-0406.

The enumeration date for this NPI number is 5/11/2021 and was last updated on 5/11/2021.

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
1207Q00000XFamily MedicineYes

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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