CARE ONE OF FLORIDA LLC NPI 1922024355

NPI Information

NPI: 1922024355
Provider Name: CARE ONE OF FLORIDA LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 10D1106530

Address:
12220 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 610-9905
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CARE ONE OF FLORIDA LLC is an urgent care clinic center in Brooksville, FL. CARE ONE OF FLORIDA LLC NPI is 1922024355. The provider is registered as an organization entity type.

The provider's business location address is:

12220 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-631
Phone: (352) 610-9905
Fax: (352) 610-9907

The provider's authorized official is Anthony P Laviano .
The authorized official title is Managing Partner and has the following contact phone number (352) 610-9905.

The CLIA number assigned to this NPI record is 10D1106530 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 8/19/2021.

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	261QU0200X	Clinic/Center	Urgent Care		FLORIDA	Yes

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
1	307544301	MEDICAID	FLORIDA

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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