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AFFORDABLE PRIMARY CARE LLC NPI 1659888394


NPI Information

NPI: 1659888394
Provider Name: AFFORDABLE PRIMARY CARE, LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 10D0966027

Address:
2146 VINDALE RD
TAVARES, FL
ZIP 32778
Phone: (352) 483-3730
Get Directions

AFFORDABLE PRIMARY CARE, LLC is an obstetrics gynecology in Tavares, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. AFFORDABLE PRIMARY CARE, LLC NPI is 1659888394. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2146 VINDALE RD
TAVARES, FL
ZIP 32778-602
Phone: (352) 483-3730
Fax: (352) 508-9661

The provider's authorized official is Taryn Brenneis .
The authorized official title is Office Manager and has the following contact phone number (352) 483-3730.

The CLIA number assigned to this NPI record is 10D0966027 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2018 and was last updated on 1/3/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME0066695FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1375664500MEDICAIDFLORIDA

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

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