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PRIMARY CARE CENTER OF LYNN HAVEN NPI 1700803624


NPI Information

NPI: 1700803624
Provider Name: PRIMARY CARE CENTER OF LYNN HAVEN
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
825 FLORIDA AVE
LYNN HAVEN, FL
ZIP 32444
Phone: (850) 265-3686
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PRIMARY CARE CENTER OF LYNN HAVEN is an internal medicine in Lynn Haven, FL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMARY CARE CENTER OF LYNN HAVEN NPI is 1700803624. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

825 FLORIDA AVE
LYNN HAVEN, FL
ZIP 32444-335
Phone: (850) 265-3686
Fax: (850) 271-5665

The provider's authorized official is Asim J Khattak .
The authorized official title is Owner and has the following contact phone number (850) 265-3686.

The enumeration date for this NPI number is 7/16/2006 and was last updated on 10/26/2011.


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
1207R00000XInternal MedicineYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11700803624OTHERFLORIDANPI
2AB975MEDICARE PINFLORIDA
3276096700MEDICAIDFLORIDA

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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