SICKNWELL LLC (NPI# 1871073122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871073122 |
| Entity Type | Organization |
| Organization Name | SICKNWELL LLC |
| Practice Address |
1990 N Prospect Ave Lecanto FL 34461-9792 |
| Mailing Address |
Po Box 2066 Lecanto FL 34460-2066 |
| Practice Telephone | 3525276888 |
| Practice Fax Number | 3525278818 |
| Mailing Telephone | 3525630931 |
| Mailing Fax Number | 3525630931 |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | DACELIN ST MARTIN (MEDICAL DIRECTOR / OWNER) |
| Authorized Official Telephone | 3525276888 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Street Address |
1990 N PROSPECT AVE |
| City | LECANTO |
| State | FL |
| Zip Code | 34461-9792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255397501 | Angela White Kelley | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2006-04-25 |
| 1487273256 | Brittany Alce | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2020-04-13 |
| 1174156855 | Ann Marie O'shall | Nurse Practitioner | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2020-02-20 |
| 1518516590 | Hollie Taina Marie Saylor | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2019-09-11 |
| 1689159709 | Sarah Elizabeth Richter | Internal Medicine | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2018-09-25 |
| 1023500535 | My Home Sleep Testing LLC | Family Medicine | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2018-05-31 |
| 1346744729 | Allison Lavon Ledsome | Nurse Practitioner | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2018-03-21 |
| 1174033435 | Charles F. Brinegar Jr. | Nurse Practitioner | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2017-10-01 |
| 1679098305 | Alexis Bushman | Physician Assistant | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2017-08-03 |
| 1508394172 | Cognisleep LLC | Family Medicine | 1990 N Prospect Ave, Lecanto, FL 34461-9792 | 2017-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891261160 | Shekinah Barfield | Physician Assistant | Pediatric and Internal Medicine Specialist Inc, 1990 N Prospect Ave, Lecanto, FL 34461 | 2018-10-15 |
| 1699240887 | Medical Risk Solutions | Family Medicine | 2804 W. Marc Knighton Court Key #10, Lecanto, FL 34461 | 2018-10-04 |
| 1851848097 | Pedim Outreach and Specialty Clinic LLC | Family Medicine | 1982 N Prospect Ave, Lecanto, FL 34461 | 2016-09-06 |
| 1265776579 | Wal-mart Stores East Lp | Technician/Technologist | 1936 N. Lecanto Hwy, Lecanto, FL 34461 | 2012-11-27 |
| 1922306109 | Pediatric and Internal Medicine Specialists, Pa | Clinic/Center | 1980 North Prospect Avenue, Lecanto, FL 34461 | 2011-03-11 |
| 1942459078 | Crq Enterprises LLC | Home Health | 4214 W Gulf To Lake Hwy, Lecanto, FL 34461 | 2008-09-12 |
| 1548418064 | Thomas Tybeck | Counselor | 324 S Kensington Ave Ste 328, Lecanto, FL 34461 | 2008-09-09 |
| 1356533566 | Amanda Nicole Coppedge | Optometrist | 240 N. Lecanto Hwy., Lecanto, FL 34461 | 2007-08-11 |
| 1679779185 | Brashears Vital Care Corp | Pharmacy | 471 N Dacie Pt, Lecanto, FL 34461 | 2007-06-22 |
| 1285751099 | Interim Healthcare Private Services, Inc. | Home Health | 581 E. Gulf To Lake Highway, Village West Plaza, Lecanto, FL 34461 | 2007-03-25 |
| Find all providers in zip 34461 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679036735 | Goodpeace Solutions, LLC | Clinic/Center | 324 S Kensington Ave Ste 328, Lecanto, FL 34461-8860 | 2019-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093314163 | Loving Care Pediatric Therapy | Clinic/Center | 140 Pine Ave N, Oldsmar, FL 34677-4629 | 2020-10-20 |
| 1477152460 | Adapting Behaviors, Inc | Clinic/Center | 12440 Sw 143rd Ln, Miami, FL 33186-6035 | 2020-10-20 |
| 1770182073 | Medical Regenerative Centers | Clinic/Center | 1560 Central Ave Unit 462, Saint Petersburg, FL 33705-1627 | 2020-10-19 |
| 1821696766 | Advanced Healthcare Integration, LLC | Clinic/Center | 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 | 2020-10-13 |
| 1952909954 | Therapy On Call, LLC | Clinic/Center | 93 Bella Vita Way, Ormond Beach, FL 32174-6634 | 2020-10-12 |
| 1992318521 | Acuity Urgent Care | Clinic/Center | 310 Nesbit St, Punta Gorda, FL 33950-3828 | 2020-08-24 |
| 1932718509 | Coral Diagnostic Center Inc | Clinic/Center | 12002 Sw 128th Ct Ste 202, Miami, FL 33186-4643 | 2020-07-29 |
| 1902422215 | Andreu Health Care Therapy Corp | Clinic/Center | 175 Fontainebleau Blvd Ste 2g7, Miami, FL 33172-7012 | 2020-06-23 |
| 1306461447 | Elevate Medical Fort Myers, LLC | Clinic/Center | 1850 Boy Scout Dr Ste A102, Fort Myers, FL 33907-2127 | 2020-06-15 |
| 1629699889 | Comprehensive Cardiovascular Institute, Pllc | Clinic/Center | 17 Davis Blvd Ste 313, Tampa, FL 33606-3438 | 2020-04-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SICKNWELL LLC.
| 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.