LEVANTE MEDICAL LLC NPI 1801183397

NPI Information

NPI: 1801183397
Provider Name: LEVANTE MEDICAL LLC
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
112 S MAIN ST
WILDWOOD, FL
ZIP 34785
Phone: (352) 250-2610
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LEVANTE MEDICAL LLC is a primary care nurse practitioner in Wildwood, FL. LEVANTE MEDICAL LLC NPI is 1801183397. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 S MAIN ST
WILDWOOD, FL
ZIP 34785-539
Phone: (352) 250-2610
Fax: (352) 326-9266

The provider's authorized official is Donna Jean O'hara .
The authorized official title is Owner and has the following contact phone number (352) 250-2610.

The enumeration date for this NPI number is 7/5/2011 and was last updated on 8/29/2011.

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	363LP2300X	Nurse Practitioner	Primary Care	ARNP2152202	FLORIDA	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
1	1710186267	OTHER	FLORIDA	NPI INDIVIDUAL RENDERING PROVIDER
2	000360200	OTHER	FLORIDA	MEDICAID INDIVIDUAL PROVIDER NUMBER - SEE OTHER #'S DESIGNATED FOR LLC
3	AL386	OTHER	FLORIDA	MEDICARE INDIVIDUAL PROVIDER NUMBER - SEE OTHER DESIGNATED #'S FOR LLC

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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