COMPLETE CARE LLC NPI 1801252457

NPI Information

NPI: 1801252457
Provider Name: COMPLETE CARE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2107479

Address:
2400 N COURTENAY PKWY
STE 100
MERRITT ISLAND, FL
ZIP 32953
Phone: (321) 985-9097
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COMPLETE CARE LLC is a primary care clinic center in Merritt Island, FL. COMPLETE CARE LLC NPI is 1801252457. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2400 N COURTENAY PKWY
STE 100
MERRITT ISLAND, FL
ZIP 32953-127
Phone: (321) 985-9097
Fax: (321) 301-4869

The provider's authorized official is Don Smith .
The authorized official title is Ceo and has the following contact phone number (321) 243-3733.

The CLIA number assigned to this NPI record is 10D2107479 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2016 and was last updated on 10/5/2022.

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
1	207R00000X	Internal Medicine				No
2	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: 4/28/2024

NPI Synchronization or Removal

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