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SPECIALIST DOCTORS GROUP LLC NPI 1922432657


NPI Information

NPI: 1922432657
Provider Name: SPECIALIST DOCTORS GROUP, LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 10D2068774

Address:
1910 W REYNOLDS ST
PLANT CITY, FL
ZIP 33563
Phone: (813) 754-3668
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SPECIALIST DOCTORS GROUP, LLC is a general practice in Plant City, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SPECIALIST DOCTORS GROUP, LLC NPI is 1922432657. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1910 W REYNOLDS ST
PLANT CITY, FL
ZIP 33563-742
Phone: (813) 754-3668

The provider's authorized official is Shawn Chaudhry .
The authorized official title is Cfo and has the following contact phone number (813) 362-8330.

The CLIA number assigned to this NPI record is 10D2068774 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2013 and was last updated on 8/29/2013.


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
1208D00000XGeneral PracticeYes

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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