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CHULUOTA CLINIC, LLC
NPI 1508119637
Clinic/Center - Primary Care in Chuluota, FL

Active since October 26, 2012
107 8TH ST W, CHULUOTA, FL 32766(407) 542-7961 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chuluota Clinic, Llc NPPES

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

CHULUOTA CLINIC, LLC (NPI 1508119637) is a healthcare organization registered as a primary care in Chuluota, Florida and active in the NPI registry since October 2012. The organization lists Michael George Pruner, Owner, as its authorized official.

NPPES Registry Identity

NPI1508119637
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameCHULUOTA CLINIC, LLC
Location Address107 8TH ST WChuluota, FL 32766-8924
Mailing Address107 8th St WChuluota, FL 32766-8924 · (407) 542-7961
Phone(407) 542-7961
Organization SubpartNo
Authorized OfficialMichael George PrunerOwner · (407) 542-7961
Enumeration DateOctober 26, 2012
✔ NPI 1508119637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in FL · 182428
107 8TH ST W, Chuluota, FL 32766
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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 Chuluota Clinic, LLC's NPI number?

The NPI number for Chuluota Clinic, LLC is 1508119637. It was assigned to this organization in the NPPES registry on October 26, 2012.

Where is Chuluota Clinic, LLC located?

Chuluota Clinic, LLC is located at 107 8th St W, Chuluota, FL 32766. The listed phone number is (407) 542-7961.

What is Chuluota Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Chuluota Clinic, LLC was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.