ST MINA PRIMARY CLINIC
NPI 1093057986
Family Medicine in Brooksville, FL

NPI Status: Active since March 19, 2013

Contact Information

17222 HOSPITAL BLVD
SUITE 242
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 796-5102
Fax: (352) 796-2144

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  • Organization
  • Family Medicine

About ST MINA PRIMARY CLINIC

This page provides the complete NPI Profile along with additional information for St Mina Primary Clinic, a primary care provider established in Brooksville, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1093057986 assigned on March 2013. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as St Mina Primary Clinic. The authorized official of this NPI record is Dr. Lawandy Fawzy Bolis M.d. (Owner)

NPI
1093057986
Provider Legal Name
3XS PLLC
Other Organization Name
ST MINA PRIMARY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17222 HOSPITAL BLVD SUITE 242 BROOKSVILLE, FL 34601
Location Phone
(352) 796-5102
Location Fax
(352) 796-2144
Mailing Address
14391 SPRING HILL DR SUITE 444 SPRING HILL, FL 34609
Mailing Phone
(352) 796-5102
Mailing Fax
(352) 796-2144
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-19-2013
Last Update Date
03-19-2013
Code Navigator

A primary care provider (PCP) like St Mina Primary Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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 is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LAWANDY FAWZY BOLIS M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(352) 796-5102

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093057986, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 0 + 5 + 1 + 4 + 9 + 1 + 6 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1093057986.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Plastic Surgery
17222 HOSPITAL BLVD, STE 346
BROOKSVILLE, FL 34601
Internal Medicine (Cardiovascular Disease)
17222 HOSPITAL BLVD, STE 116
BROOKSVILLE, FL 34601
Specialist
17222 HOSPITAL BLVD, #350
BROOKSVILLE, FL 34601
Internal Medicine (Cardiovascular Disease)
17222 HOSPITAL BLVD, SUITE 238
BROOKSVILLE, FL 34601
Occupational Therapist
17222 HOSPITAL BLVD, SUITE 346
BROOKSVILLE, FL 34601
Family Medicine
17222 HOSPITAL BLVD, SUITE 242
BROOKSVILLE, FL 34601
Surgery
17222 HOSPITAL BLVD, SUITE 326
BROOKSVILLE, FL 34601
Nurse Practitioner
17222 HOSPITAL BLVD
BROOKSVILLE, FL 34601
Internal Medicine
17222 HOSPITAL BLVD, SUITE 250
BROOKSVILLE, FL 34601
Podiatrist (Foot Surgery)
17222 HOSPITAL BLVD, SUITE 218
BROOKSVILLE, FL 34601
Surgery
17222 HOSPITAL BLVD, SUITE 326
BROOKSVILLE, FL 34601
Dermatology (Dermatopathology)
17222 HOSPITAL BLVD, SUITE 346
BROOKSVILLE, FL 34601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093057986, enumerated as an "organization" on March 19, 2013.

The provider is located at 17222 HOSPITAL BLVD SUITE 242 BROOKSVILLE, FL 34601 and the phone number is (352) 796-5102.

Family Medicine with taxonomy code 207Q00000X.