1972780955 NPI number — OKEECHOBEE FAMILY PRACTICE P A

Table of content: (NPI 1972780955)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972780955 NPI number — OKEECHOBEE FAMILY PRACTICE P A

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OKEECHOBEE FAMILY PRACTICE P A
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1972780955
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1713 US HIGHWAY 441 N STE D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OKEECHOBEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34972-1900
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
863-467-8771
Provider Business Mailing Address Fax Number:
863-467-2825

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1713 HWY 441 N
Provider Second Line Business Practice Location Address:
SUITE E
Provider Business Practice Location Address City Name:
OKEECHOBEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34972-1900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
863-467-8871
Provider Business Practice Location Address Fax Number:
863-467-2825
Provider Enumeration Date:
01/22/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HELLER
Authorized Official First Name:
LELAND
Authorized Official Middle Name:
M
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
863-467-8771

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  10D0929800 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 191542364873 . This is a "HUMANA" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 014468000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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