MEDVASIVE LLC NPI 1669241295

NPI Information

NPI: 1669241295
Provider Name: MEDVASIVE, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
16756 ABBEY HILL CT
CLERMONT, FL
ZIP 34711
Phone: (407) 480-0295
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MEDVASIVE, LLC is a surgical physician assistant in Clermont, FL. MEDVASIVE, LLC NPI is 1669241295. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16756 ABBEY HILL CT
CLERMONT, FL
ZIP 34711-353
Phone: (407) 480-0295

The provider's authorized official is Paul D Lopez .
The authorized official title is Mgr and has the following contact phone number (407) 480-0295.

The enumeration date for this NPI number is 12/22/2023 and was last updated on 12/22/2023.

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
1	363AS0400X	Physician Assistant	Surgical			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: 5/5/2024

NPI Synchronization or Removal

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