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COMMONHEALTH SERVICES CORP. NPI 1659820546


NPI Information

NPI: 1659820546
Provider Name: COMMONHEALTH SERVICES CORP.
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
733 N 3RD ST
LEESBURG, FL
ZIP 34748
Phone: (352) 435-7214
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COMMONHEALTH SERVICES CORP. is a pediatrics in Leesburg, FL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. COMMONHEALTH SERVICES CORP. NPI is 1659820546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

733 N 3RD ST
LEESBURG, FL
ZIP 34748-441
Phone: (352) 435-7214
Fax: (352) 435-7553

The provider's authorized official is Carlos Manuel De La Cruz .
The authorized official title is Ceo and has the following contact phone number (407) 275-1373.

The enumeration date for this NPI number is 10/3/2016 and was last updated on 10/3/2016.


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
1208000000XPediatricsME69780FLORIDAYes

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
1379673600MEDICAIDFLORIDA

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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