PROMED WALK IN CLINIC INC (NPI# 1467631861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467631861 |
Entity Type | Organization |
Organization Name | PROMED WALK IN CLINIC INC |
Practice Address |
1703 Sw 2nd Ave Okeechobee FL 34974-6169 |
Practice Telephone | 8634677377 |
Mailing Telephone | 8634677377 |
Enumeration Date | 2007-11-01 |
Last Update Date | 2007-11-01 |
Authorized Official Name | CAROL LYNN JOHNS (PRESIDENT) |
Authorized Official Telephone | 8634677377 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ARNP3141172 | FL | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | BLUE CROSS BLUE SHIELD FL | Y9729 | 01 |
FL | MEDICARE | Y9729Z | 01 |
Street Address |
1703 SW 2ND AVE |
City | OKEECHOBEE |
State | FL |
Zip Code | 34974-6169 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235340746 | Florida Spine Institute Of | Chiropractor | 1703 Sw 2nd Ave, Okeechobee, FL 34974-6169 | 2007-05-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609406339 | Deanna L. Ousley | Massage Therapist | 7768 Hwy 78 West, Okeechobee, FL 34974 | 2020-01-22 |
1538578422 | Jo Beth Hansford | Pharmacist | 3551 Us Hwy 441 S, Okeechobee, FL 34974 | 2014-08-05 |
1740608017 | Stephanie Sullivan | Speech-Language Pathologist | 3950 Sw 16th St, Okeechobee, FL 34974 | 2014-04-02 |
1730433665 | Lm Counseling Services, LLC. | Social Worker | 605 Sw Park Street, Suite 203, Okeechobee, FL 34974 | 2012-10-30 |
1891947461 | Big Lake Home Health Services of Glade County, Inc | Home Health | #7 Buckhead Ridge Road, Okeechobee, FL 34974 | 2008-10-15 |
1063675981 | Shirley's Personal Care Services of Okeechobee, Inc. | Home Health | 200 Southeast Third Street, Okeechobee, FL 34974 | 2008-07-10 |
1083889455 | David J. Underill Od | Optometrist | 520 South Parrott Ave, Okeechobee, FL 34974 | 2008-04-28 |
1679767404 | Jean M Drewski | Technician/Technologist | 520 So Parrott Ave, Optical Gallery, Okeechobee, FL 34974 | 2007-09-05 |
1699987776 | Hear Factor Dba Beltone Hearing Center | Specialist | 3268 Us Hwy 441 South, Okeechobee, FL 34974 | 2007-05-03 |
1285754119 | Melanie Virginie Mello | Nurse Practitioner | 17201 Civic St., Okeechobee, FL 34974 | 2007-04-02 |
Find all providers in zip 34974 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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Find all providers with the same taxonomy |
City | OKEECHOBEE |
Zip Code | 34974 |
Please comment or provide details below to improve the information on PROMED WALK IN CLINIC INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.