OMEGA INTEGRATIVE CARE NPI 1780403964

NPI Information

  • NPI: 1780403964
  • Provider Name: OMEGA INTEGRATIVE CARE
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 10D2315435
  • Address: 910 OLD CAMP RD STE 112
    THE VILLAGES, FL
    ZIP 32162
  • Phone: (352) 240-1471

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NPI Details

OMEGA INTEGRATIVE CARE is a primary care clinic center in The Villages, FL. OMEGA INTEGRATIVE CARE NPI is 1780403964. The provider is registered as an organization entity type.

The provider's business location address is:

910 OLD CAMP RD STE 112
THE VILLAGES, FL
ZIP 32162-605
Phone: (352) 240-1471

The provider's authorized official is Sarah Tate .
The authorized official title is Owner and has the following contact phone number (352) 572-9016.

The CLIA number assigned to this NPI record is 10D2315435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2024 and was last updated on 10/7/2024.

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
1261QP2300XClinic/CenterPrimary CareYes

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: 11/21/2025

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