INNOVACARE FLORIDA URGENT CARE
NPI 1598537359
Clinic/Center - Urgent Care in Loxahatchee, FL

NPI Status: Active since October 25, 2023

Contact Information

15689 SOUTHERN BLVD UNIT 102
LOXAHATCHEE, FL
ZIP 33470
Phone: (561) 798-3030

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 10D2289591
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-12-2025

About INNOVACARE FLORIDA URGENT CARE

This page provides the complete NPI Profile along with additional information for Innovacare Florida Urgent Care, a provider established in Loxahatchee, Florida operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1598537359 assigned on October 2023. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Penelope Kokkinides (Chief Administrative Officer)

NPI
1598537359
Provider Name
INNOVACARE FLORIDA URGENT CARE
Entity Type
Organization
Location Address
15689 SOUTHERN BLVD UNIT 102 LOXAHATCHEE, FL 33470
Location Phone
(561) 798-3030
Mailing Address
6900 TAVISTOCK LAKES BLVD STE 300 ORLANDO, FL 32827
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-25-2023
Last Update Date
10-25-2023
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

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

PENELOPE KOKKINIDES

Authorized Official Title
CHIEF ADMINISTRATIVE OFFICER
Authorized Official Phone
(201) 270-7825

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2289591
Facility Type
Physician Office
Certificate Effective Date
September 13, 2023
Certificate Expiration Date
September 12, 2025
Laboratory Director
TARA LYNN STOCK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Innovacare Florida Urgent Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598537359
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518810314310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 0 + 3 + 1 + 4 + 3 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1598537359 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598537359, enumerated as an "organization" on October 25, 2023.

The provider is located at 15689 SOUTHERN BLVD UNIT 102 LOXAHATCHEE, FL 33470 and the phone number is (561) 798-3030.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.