CLUB2,LLC
NPI 1629412515
Clinic/Center - Emergency Care in Gulf Breeze, FL

Active since April 22, 2013
1230 CRANE COVE BLVD, GULF BREEZE, FL 32563(850) 934-6659 Get Directions Write a Review

NPPES record last updated: April 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Club2,llc NPPES

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

CLUB2,LLC (NPI 1629412515) is a healthcare organization registered as an emergency care in Gulf Breeze, Florida and active in the NPI registry since April 2013. The organization lists Paul Roebuck Henning, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1629412515
Entity TypeOrganization
Primary Taxonomy261QE0002X
Legal Business NameCLUB2,LLC
Location Address1230 CRANE COVE BLVDGulf Breeze, FL 32563-3191
Mailing Address1175 Mary Kate DrGulf Breeze, FL 32563-5542 · (850) 934-6659
Organization SubpartNo
Authorized OfficialPaul Roebuck HenningMedical Director · (850) 696-9556
Enumeration DateApril 22, 2013
NPI 1629412515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Emergency CareAmbulatory Health Care Facilities
Taxonomy Code261QE0002X
License Licensed in FL · ME93462
1230 CRANE COVE BLVD, Gulf Breeze, FL 32563

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 Club2,llc's NPI number?

The NPI number for Club2,llc is 1629412515. It was assigned to this organization in the NPPES registry on April 22, 2013.

Where is Club2,llc located?

Club2,llc is located at 1230 Crane Cove Blvd, Gulf Breeze, FL 32563. The listed phone number is (850) 934-6659.

What is Club2,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Emergency Care, with taxonomy code 261QE0002X.

When was this NPI record last updated?

The NPPES record for Club2,llc was last updated on April 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.