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MEDWAY MEDICAL CENTERS OF CLEARWATER LLC NPI 1962192716


NPI Information

NPI: 1962192716
Provider Name: MEDWAY MEDICAL CENTERS OF CLEARWATER LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2287160

Address:
1012 DRUID RD E
CLEARWATER, FL
ZIP 33756
Phone: (727) 877-0004
Get Directions

MEDWAY MEDICAL CENTERS OF CLEARWATER LLC is a family medicine in Clearwater, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDWAY MEDICAL CENTERS OF CLEARWATER LLC NPI is 1962192716. The provider is registered as an organization entity type.

The provider's business location address is:

1012 DRUID RD E
CLEARWATER, FL
ZIP 33756-606
Phone: (727) 877-0004

The provider's authorized official is Frank Acosta .
The authorized official title is President and has the following contact phone number (727) 877-0004.

The CLIA number assigned to this NPI record is 10D2287160 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2023 and was last updated on 5/15/2023.


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
1261Q00000XClinic/CenterNo
2207Q00000XFamily MedicineYes

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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