PREFERRED HEALTHCARE PA NPI 1982652285

NPI Information

NPI: 1982652285
Provider Name: PREFERRED HEALTHCARE PA
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 10D1043793

Address:
2000 PREVATT ST
SUITE B
EUSTIS, FL
ZIP 32726
Phone: (352) 357-7857
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PREFERRED HEALTHCARE PA is a primary care clinic center in Eustis, FL. PREFERRED HEALTHCARE PA NPI is 1982652285. The provider is registered as an organization entity type.

The provider's business location address is:

2000 PREVATT ST
SUITE B
EUSTIS, FL
ZIP 32726-149
Phone: (352) 357-7857
Fax: (352) 357-8537

The provider's authorized official is Angela Dawn Ford .
The authorized official title is Owner and has the following contact phone number (352) 357-7857.

The CLIA number assigned to this NPI record is 10D1043793 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/22/2020.

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	261QP2300X	Clinic/Center	Primary Care			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	38472	OTHER	FLORIDA	BCBS

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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