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HONESTLY ADVANCING PRACTICE LLC NPI 1861118564


NPI Information

NPI: 1861118564
Provider Name: HONESTLY ADVANCING PRACTICE LLC

Doing Business As: FREEPORT PRIMARY & IMMEDIATE CARE

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D2275562

Address:
902 HIGHWAY 20 E STE 108
FREEPORT, FL
ZIP 32439
Phone: (850) 332-2589
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HONESTLY ADVANCING PRACTICE LLC is a primary care nurse practitioner in Freeport, FL. HONESTLY ADVANCING PRACTICE LLC NPI is 1861118564. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Freeport Primary & Immediate Care.

The provider's business location address is:

902 HIGHWAY 20 E STE 108
FREEPORT, FL
ZIP 32439-912
Phone: (850) 332-2589
Fax: (850) 807-5145

The provider's authorized official is Terry Wilson .
The authorized official title is Office Manager and has the following contact phone number (850) 865-6801.

The CLIA number assigned to this NPI record is 10D2275562 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2022 and was last updated on 12/19/2022.


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
1363LP2300XNurse PractitionerPrimary CareYes

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
11215184643OTHERFLORIDANPI
21871117242OTHERFLORIDANPI

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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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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