MINI HEALTH CLINIC LLC NPI 1770179590

NPI Information

NPI: 1770179590
Provider Name: MINI HEALTH CLINIC, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2190341

Address:
1150 ANDERSON ST
CLERMONT, FL
ZIP 34711
Phone: (352) 227-3000
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MINI HEALTH CLINIC, LLC is a primary care clinic center in Clermont, FL. MINI HEALTH CLINIC, LLC NPI is 1770179590. The provider is registered as an organization entity type.

The provider's business location address is:

1150 ANDERSON ST
CLERMONT, FL
ZIP 34711-507
Phone: (352) 227-3000
Fax: (352) 505-7738

The provider's authorized official is Kemeisha T Morgan .
The authorized official title is Owner/provider and has the following contact phone number (352) 227-3000.

The CLIA number assigned to this NPI record is 10D2190341 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2020 and was last updated on 12/16/2020.

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	Primary
1	261QP2300X	Clinic/Center	Primary Care	Yes
2	332900000X	Non-Pharmacy Dispensing Site		No
3	2083B0002X	Preventive Medicine	Obesity Medicine	No

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

NPI Synchronization or Removal

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