BETHESDA/SOLANTIC JOINT VENTURE LLC NPI 1730329038

NPI Information

NPI: 1730329038
Provider Name: BETHESDA/SOLANTIC JOINT VENTURE, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D2124110

Address:
830 N. CONGRESS AVE.
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 572-3100
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BETHESDA/SOLANTIC JOINT VENTURE, LLC is an urgent care clinic center in Boynton Beach, FL. BETHESDA/SOLANTIC JOINT VENTURE, LLC NPI is 1730329038. The provider is registered as an organization entity type.

The provider's business location address is:

830 N. CONGRESS AVE.
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 572-3100
Fax: (561) 572-3101

The provider's authorized official is Deborah S. Mayhew .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (904) 312-5385.

The CLIA number assigned to this NPI record is 10D2124110 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2009 and was last updated on 6/18/2012.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

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
1	EQ405A	MEDICARE PIN	FLORIDA

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

NPI Synchronization or Removal

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