WELLNESS AND HYDRATION CLINIC LLC NPI 1831789015

NPI Information

NPI: 1831789015
Provider Name: WELLNESS AND HYDRATION CLINIC, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2214116

Address:
580 LEXINGTON GREEN LN
SANFORD, FL
ZIP 32771
Phone: (931) 510-7783
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WELLNESS AND HYDRATION CLINIC, LLC is a primary care clinic center in Sanford, FL. WELLNESS AND HYDRATION CLINIC, LLC NPI is 1831789015. The provider is registered as an organization entity type.

The provider's business location address is:

580 LEXINGTON GREEN LN
SANFORD, FL
ZIP 32771-026
Phone: (931) 510-7783

The provider's authorized official is Bianca Burnett .
The authorized official title is Nurse P. and has the following contact phone number (931) 510-7783.

The CLIA number assigned to this NPI record is 10D2214116 - other - practitioner office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2021 and was last updated on 1/29/2021.

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	261QF0050X	Clinic/Center	Family Planning, Non-Surgical			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: 5/5/2024

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