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CARE CENTER OF LAKE PLACID NPI 1750773321


NPI Information

NPI: 1750773321
Provider Name: CARE CENTER OF LAKE PLACID

Other Name: NONE

Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Organization

Specialization: Adult Health

CLIA Number: 10D2105619

Address:
299 E INTERLAKE BLVD
LAKE PLACID, FL
ZIP 33852
Phone: (754) 260-7467
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CARE CENTER OF LAKE PLACID is an adult health clinical nurse specialist in Lake Placid, FL. CARE CENTER OF LAKE PLACID NPI is 1750773321. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is None.

The provider's business location address is:

299 E INTERLAKE BLVD
LAKE PLACID, FL
ZIP 33852-621
Phone: (754) 260-7467
Fax: (863) 465-2525

The provider's authorized official is Veronica Gertrude Walker .
The authorized official title is Manager and has the following contact phone number (754) 260-7467.

The CLIA number assigned to this NPI record is 10D2105619 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2015 and was last updated on 2/19/2015.


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
1364SA2200XClinical Nurse SpecialistAdult Health2727672FLORIDAYes

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: 4/28/2024

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