COMPASSIONATE CARE PRIMARY SERVICE LLC NPI 1790453041

NPI Information

NPI: 1790453041
Provider Name: COMPASSIONATE CARE PRIMARY SERVICE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
9200 NW 39TH AVE STE 130-3153
GAINESVILLE, FL
ZIP 32606
Phone: (352) 256-4412
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COMPASSIONATE CARE PRIMARY SERVICE, LLC is a primary care clinic center in Gainesville, FL. COMPASSIONATE CARE PRIMARY SERVICE, LLC NPI is 1790453041. The provider is registered as an organization entity type.

The provider's business location address is:

9200 NW 39TH AVE STE 130-3153
GAINESVILLE, FL
ZIP 32606-331
Phone: (352) 256-4412

The provider's authorized official is Dironada Gross Strange .
The authorized official title is Nurse Practitioner and has the following contact phone number (352) 256-4412.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 9/1/2021.

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
1	261QP2300X	Clinic/Center	Primary Care			Yes

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: 11/14/2023

NPI Synchronization or Removal

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