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DR JOAN LYN FAMILY MEDICINE P A NPI 1689731432


NPI Information

NPI: 1689731432
Provider Name: DR JOAN LYN FAMILY MEDICINE P A
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2103808

Address:
17 NW 168TH ST
NORTH MIAMI BEACH, FL
ZIP 33169
Phone: (786) 955-6089
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DR JOAN LYN FAMILY MEDICINE P A is a primary care clinic center in North Miami Beach, FL. DR JOAN LYN FAMILY MEDICINE P A NPI is 1689731432. The provider is registered as an organization entity type.

The provider's business location address is:

17 NW 168TH ST
NORTH MIAMI BEACH, FL
ZIP 33169-027
Phone: (786) 955-6089
Fax: (786) 955-6091

The provider's authorized official is Joan Yvonne Lyn .
The authorized official title is Owner and has the following contact phone number (954) 967-0774.

The CLIA number assigned to this NPI record is 10D2103808 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 11/4/2021.


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
1261QP2300XClinic/CenterPrimary Care06000059FLORIDAYes

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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