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ENGLEWOOD MEDICAL CENTER NPI 1821169178


NPI Information

NPI: 1821169178
Provider Name: ENGLEWOOD MEDICAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
655 N INDIANA AVE
ENGLEWOOD, FL
ZIP 34223
Phone: (941) 475-6207
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ENGLEWOOD MEDICAL CENTER is a clinic center in Englewood, 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). ENGLEWOOD MEDICAL CENTER NPI is 1821169178. The provider is registered as an organization entity type.

The provider's business location address is:

655 N INDIANA AVE
ENGLEWOOD, FL
ZIP 34223-766
Phone: (941) 475-6207
Fax: (941) 475-9801

The provider's authorized official is Charles B. Eagar .
The authorized official title is Owner and has the following contact phone number (941) 475-6207.

The enumeration date for this NPI number is 11/10/2006 and was last updated on 10/12/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterME 46072FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
158473MEDICARE PINFLORIDA

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

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