Physician Providers Group Pa in Lady Lake - Specialist
Physician Providers Group Pa - NPI 1720073216
Physician Providers Group Pa is a Specialist in Lady Lake, Florida. Physician Providers Group Pa practices all healthcare services and medical treatments related to Specialist. The NPI Number for Physician Providers Group Pa is 1720073216. The last update date is 2023-07-03.
Physician Providers Group Pa's current location address is Po Box 1925, Lady Lake, Florida. You can contact this provider via phone number 5235534075 and fax number 8887703208. The mailing address for Physician Providers Group Pa is Po Box 1925, Lady Lake, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Physician Providers Group Pa |
|---|---|
| Address | Po Box 1925, Lady Lake, Florida |
| Phone Number | 5235534075 |
| Fax Number | 8887703208 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MD/OWNER |
|---|---|
| Authorized Official Name | Ulseth Robert |
| Credentials | MD |
| Telephone Number | 3523444791 |
NPI Number Detail
| NPI Number | 1720073216 |
|---|---|
| Provider Enumeration Date | 2005-09-12 |
| Last Updated Date | 2023-07-03 |
Provider Mailing Address Detail
| Address | Po Box 1925 |
|---|---|
| City | Lady Lake |
| State | Florida (FL) |
| Post Code | 321581925 |
| Phone Number | 5235534075 |
| Fax Number | 8887703208 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 34759 | FL | BLUE SHIELD PROV # |
Post Comment/ Review Below
What is the unique identification code assigned to Physician Providers Group Pa by the Centers for Medicare & Medicaid Services?
The Physician Providers Group Pa has been issued the NPI (National Provider Identifier) 1720073216. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Physician Providers Group Pa is geographically located?
The Physician Providers Group Pa is physically situated at the following location: Po Box 1925, Lady Lake, FL, 321581925.
What is the Physician Providers Group Pa's specialty and taxonomy code?
The Physician Providers Group Pa's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did Physician Providers Group Pa receive its 1720073216 assignment?
The Physician Providers Group Pa was assigned its 1720073216 on 2005-09-12, which is the date when this unique identifier was issued to the organization.
When was the information regarding Physician Providers Group Pa most recently updated?
The details pertaining to the Physician Providers Group Pa, including its address, specialty, and other relevant information, were last refreshed on 2023-07-03.