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MEDPLAN CLINIC LLC NPI 1699198143


NPI Information

NPI: 1699198143
Provider Name: MEDPLAN CLINIC, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2079613

Address:
900 W 49TH ST STE 308
HIALEAH, FL
ZIP 33012
Phone: (305) 801-6952
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MEDPLAN CLINIC, LLC is a clinic center in Hialeah, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MEDPLAN CLINIC, LLC NPI is 1699198143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 W 49TH ST STE 308
HIALEAH, FL
ZIP 33012-435
Phone: (305) 801-6952

The provider's authorized official is Manuel Iglesias .
The authorized official title is Ceo and has the following contact phone number (786) 641-5348.

The CLIA number assigned to this NPI record is 10D2079613 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 6/12/2017.


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
1207R00000XInternal MedicineNo
2261Q00000XClinic/CenterYes

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
1O18781000MEDICAIDFLORIDA

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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