TELE MED CLINIX LLC NPI 1780204305

NPI Information

  • NPI: 1780204305
  • Provider Name: TELE MED CLINIX LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 541 N PALMETTO AVE STE 104B
    SANFORD, FL
    ZIP 32771
  • Phone: (321) 209-4040

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NPI Details

TELE MED CLINIX LLC is a mental health (including community mental health center) clinic center in Sanford, FL. TELE MED CLINIX LLC NPI is 1780204305. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

541 N PALMETTO AVE STE 104B
SANFORD, FL
ZIP 32771-371
Phone: (321) 209-4040

The provider's authorized official is David Knight .
The authorized official title is Owner and has the following contact phone number (917) 635-5234.

The enumeration date for this NPI number is 4/23/2020 and was last updated on 5/17/2023.

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
1207QA0401XFamily MedicineAddiction MedicineNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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
1114165800MEDICAIDFLORIDA

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: 3/30/2025

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