GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC NPI 1003416843

Clinic/Center in Kissimmee, FL

NPI 1003416843 Organization Clinic/Center

About GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC

Guidewell Emergency Medicine Doctors, Llc is a provider established in Kissimmee, Florida specializing in clinic/center. The NPI number of Guidewell Emergency Medicine Doctors, Llc is 1003416843 and was assigned on October 2020. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Karen Walker Rn (Vp Of Operations)

NPI

1003416843

Provider NameGUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
Provider Location Address2465 N ORANGE BLOSSOM TRAIL KISSIMMEE, FL 34744
Provider Mailing Address4230 PABLO PROFESSIONAL CT STE 103 JACKSONVILLE, FL 32224
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date10-30-2020
Last Update Date10-30-2020


Primary Taxonomy

Taxonomy Code261Q00000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
Taxonomy DescriptionA facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Business Address

GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
2465 N ORANGE BLOSSOM TRAIL
KISSIMMEE, FL
ZIP 34744
Phone: (407) 917-5911

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Mailing Address

GUIDEWELL EMERGENCY MEDICINE DOCTORS, LLC
4230 PABLO PROFESSIONAL CT STE 103
JACKSONVILLE, FL
ZIP 32224
Phone: (904) 329-1942
Fax: (904) 647-5559



Authorized Official

Authorized Official Name KAREN WALKER RN
Authorized Official TitleVP OF OPERATIONS
Authorized Official Phone(904) 329-1942

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.