MDPA SOLUTIONS INC NPI 1992181077

NPI Information

MDPA SOLUTIONS, INC is a general practice in New Smyrna Beach, 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 MDPA SOLUTIONS, INC NPI is 1992181077. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As New Smyrna Wellness Center.

The provider's business location address is:

502 PALMETTO ST
NEW SMYRNA BEACH, FL
ZIP 32168
Phone: (386) 957-3810
Fax: (386) 878-4967

The provider's authorized official is Ellis Franklin Fort .
The authorized official title is Physician Assistant and has the following contact phone number (386) 957-3810.

The CLIA number assigned to this NPI record is 10D2052147 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2015 and was last updated on 7/16/2018.

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:

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