1699211250 NPI number — MEDICAL HOTSPOTS, INC

Table of content: (NPI 1699211250)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699211250 NPI number — MEDICAL HOTSPOTS, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEDICAL HOTSPOTS, INC
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:
6
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:
1699211250
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/20/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
780 US HIGHWAY 1 UNIT 100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VERO BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32962-1661
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-226-7700
Provider Business Mailing Address Fax Number:
888-908-8578

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3850 NW 50TH STREET
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
TAMARAC
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-769-1737
Provider Business Practice Location Address Fax Number:
888-908-8578
Provider Enumeration Date:
01/06/2017

Additional Information

Authorized Official

Authorized Official Last Name:
BAILEY
Authorized Official First Name:
TRISHA
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
772-226-7700

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  1313789 , 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: 004434200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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