Kyle Clinic in Ponte Vedra Beach - Family Medicine
Kyle Clinic - NPI 1811056310
Kyle Clinic is a Family Medicine in Ponte Vedra Beach, Florida. Kyle Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kyle Clinic is 1811056310. The last update date is 2020-08-22.
Kyle Clinic's current location address is 1110 A1a N Ste 101, Ponte Vedra Beach, Florida. You can contact this provider via phone number 9042808657 and fax number 9042808659. The mailing address for Kyle Clinic is 1110 A1a N Ste 101, Ponte Vedra Beach, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kyle Clinic |
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Address | 1110 A1a N Ste 101, Ponte Vedra Beach, Florida |
Phone Number | 9042808657 |
Fax Number | 9042808659 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Lawrence Stacy |
Telephone Number | 9042808657 |
NPI Number Detail
NPI Number | 1811056310 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1110 A1a N Ste 101 |
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City | Ponte Vedra Beach |
State | Florida (FL) |
Post Code | 320824071 |
Phone Number | 9042808657 |
Fax Number | 9042808659 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | ME83612 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique identifier code issued to Kyle Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Kyle Clinic has been assigned the NPI (National Provider Identifier) 1811056310. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Kyle Clinic's physical address?
The Kyle Clinic is physically located at 1110 A1A N Ste 101, in the city of Ponte Vedra Beach, FL, with the postal code 320824071.
What is Kyle Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kyle Clinic is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
On what date did Kyle Clinic receive its 1811056310 assignment from the Centers for Medicare & Medicaid Services?
The Kyle Clinic was assigned its 1811056310 on 2006-12-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kyle Clinic most recently updated or revised?
The information pertaining to Kyle Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.