FIRST HARBOUR MEDICAL CENTERS LLC NPI 1831543982

NPI Information

NPI: 1831543982
Provider Name: FIRST HARBOUR MEDICAL CENTERS, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D0860345

Address:
712 53RD AVE E
BRADENTON, FL
ZIP 34203
Phone: (941) 755-2456
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FIRST HARBOUR MEDICAL CENTERS, LLC is a primary care clinic center in Bradenton, FL. FIRST HARBOUR MEDICAL CENTERS, LLC NPI is 1831543982. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

712 53RD AVE E
BRADENTON, FL
ZIP 34203-827
Phone: (941) 755-2456

The provider's authorized official is Gabriela Watters .
The authorized official title is Director Of Compliance and has the following contact phone number (941) 243-4660.

The CLIA number assigned to this NPI record is 10D0860345 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/14/2016 and was last updated on 3/17/2018.

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	Primary
1	207R00000X	Internal Medicine		No
2	261Q00000X	Clinic/Center		No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	261QP2300X	Clinic/Center	Primary Care	Yes
5	332900000X	Non-Pharmacy Dispensing Site		No

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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