Purposely Evolving Medical Clinic
LBN: Purposely Evolving
Purposely Evolving Medical Clinic is an health care organization with primary practice located at 1810 S Pinellas Ave Ste B , Tarpon Springs FL 34689-1989. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Purposely Evolving can be contacted via phone (727) 937-6060, or through Paschal, Dominique via phone (727) 937-6060.
Contact Information
Primary practice address
1810 S Pinellas Ave Ste B
Tarpon Springs FL 34689-1989
Phone: (727) 937-6060
Fax: (727) 937-6030
Website:
Authorized official contact:
Name: Paschal, Dominique Advanced Practice Registered Nurse (APRN)
Phone: (727) 937-6060
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
NPI number | 1609582782 |
---|---|
LBN Legal business name | Purposely Evolving |
DBA Doing business as | Purposely Evolving Medical Clinic |
Authorized official | Paschal, Dominique Advanced Practice Registered Nurse (APRN) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 23rd, 2023 |
Last updated | Aug 9th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1609582782 | NPPES |
Florida | Other | 1083178040 | NPI |
Florida | Other | 1013086917 | NPI |
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