PHOENIX HEALTH
NPI 1336837665
Family Medicine in Clermont, FL

Active since April 25, 2023CLIA 10D2059104 · Waiver
17011 STATE ROAD 50 STE 103, CLERMONT, FL 34711(323) 695-3822 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HEALTH (NPI 1336837665) is a healthcare organization registered as a family medicine in Clermont, Florida and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through May 16, 2027 and lists Heather Diaz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1336837665
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHOENIX HEALTH ASCENDENCY LLC
Location Address17011 STATE ROAD 50 STE 103Clermont, FL 34711-8203
Mailing Address17011 State Road 50 Ste 103Clermont, FL 34711-8203
Organization SubpartNo
Authorized OfficialHeather DiazAdministrator · (323) 695-3822
Enumeration DateApril 25, 2023
Last NPPES UpdateMay 5, 2023
NPPES CertifiedMay 5, 2023
NPI 1336837665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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 is not limited by age, sex, organ system, or disease entity.
Also ListedAllergy & Immunology · AllergyTaxonomy 207KA0200X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X
Also ListedGeneral PracticeTaxonomy 208D00000X
17011 STATE ROAD 50 STE 103, Clermont, FL 34711

Other Names 1

Doing Business AsPhoenix Health

Other Identifiers 1

Medicaid277908100FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2059104

Phoenix Health Ascendency LLC · Clermont, FL
Active · expires May 16, 2027
CLIA Number10D2059104
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2025
Certificate Expiration DateMay 16, 2027
Laboratory DirectorMatthew Smith
Laboratory Phone(352) 352-2208
Laboratory LocationPhoenix Health Ascendency LLC17011 Fl-50 Suite 103, Clermont, FL 34711
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
17011 STATE ROAD 50 STE 103
CLERMONT, FL 34711
Family Medicine
17011 STATE ROAD 50 STE 103
CLERMONT, FL 34711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Health Ascendency LLC's NPI number?

The NPI number for Phoenix Health Ascendency LLC is 1336837665. It was assigned to this organization in the NPPES registry on April 25, 2023. The provider is doing business as Phoenix Health.

Where is Phoenix Health Ascendency LLC located?

Phoenix Health Ascendency LLC is located at 17011 State Road 50 Ste 103, Clermont, FL 34711. The listed phone number is (323) 695-3822.

What is Phoenix Health Ascendency LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Phoenix Health Ascendency LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2059104) is associated with this NPI, valid through May 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Health Ascendency LLC was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.