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DELUXE HEALTH CENTER LLC NPI 1790355089


NPI Information

NPI: 1790355089
Provider Name: DELUXE HEALTH CENTER LLC

Former Legal Business Name: DELUXE HEALTH CENTER LLC

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 10D2193565

Address:
5795 NW 151ST ST STE B
MIAMI LAKES, FL
ZIP 33014
Phone: (305) 951-6392
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DELUXE HEALTH CENTER LLC is a clinic center in Miami Lakes, FL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DELUXE HEALTH CENTER LLC NPI is 1790355089. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Deluxe Health Center Llc.

The provider's business location address is:

5795 NW 151ST ST STE B
MIAMI LAKES, FL
ZIP 33014-479
Phone: (305) 951-6392
Fax: (786) 615-2359

The provider's authorized official is Herbie Pimentel .
The authorized official title is President and has the following contact phone number (305) 951-6392.

The CLIA number assigned to this NPI record is 10D2193565 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 1/11/2022.


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
1207RS0012XInternal MedicineSleep MedicineNo
2261Q00000XClinic/CenterYes

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: 5/5/2024

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