BEYOND VENACARE SERVICES LLC NPI 1689474553

NPI Information

  • NPI: 1689474553
  • Provider Name: BEYOND VENACARE SERVICES LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2313375
  • Address: 405 S SUMMIT ST STE A
    CRESCENT CITY, FL
    ZIP 32112
  • Phone: (386) 559-4086

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NPI Details

BEYOND VENACARE SERVICES LLC is a primary care clinic center in Crescent City, FL. BEYOND VENACARE SERVICES LLC NPI is 1689474553. The provider is registered as an organization entity type.

The provider's business location address is:

405 S SUMMIT ST STE A
CRESCENT CITY, FL
ZIP 32112-048
Phone: (386) 559-4086

The provider's authorized official is Sylvia Jaimes .
The authorized official title is Co-owner/director and has the following contact phone number (386) 559-4086.

The CLIA number assigned to this NPI record is 10D2313375 - other - independent mobile/brick with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/18/2025 and was last updated on 6/26/2025.

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
1291U00000XClinical Medical LaboratoryNo
2261QP2300XClinic/CenterPrimary CareYes

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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