CARBON HEALTH MEDICAL GROUP OF FLORIDA PA NPI 1942812763

NPI Information

  • NPI: 1942812763
  • Provider Name: CARBON HEALTH MEDICAL GROUP OF FLORIDA PA
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Address: 4825 SW 148TH AVE
    DAVIE, FL
    ZIP 33330
  • Phone: (415) 200-2133

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NPI Details

CARBON HEALTH MEDICAL GROUP OF FLORIDA PA is an urgent care clinic center in Davie, FL. CARBON HEALTH MEDICAL GROUP OF FLORIDA PA NPI is 1942812763. The provider is registered as an organization entity type.

The provider's business location address is:

4825 SW 148TH AVE
DAVIE, FL
ZIP 33330-129
Phone: (415) 200-2133

The provider's authorized official is Kailtin Boyle .
The authorized official title is Director and has the following contact phone number (303) 601-5392.

The enumeration date for this NPI number is 8/21/2020 and was last updated on 7/15/2024.

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
1261QP2300XClinic/CenterPrimary CareNo
2261QU0200XClinic/CenterUrgent CareYes

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: 3/30/2025

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