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PEDIM OUTREACH AND SPECIALTY CLINIC LLC
NPI 1710674205
Internal Medicine in Inverness, FL

Active since April 24, 2023
3565 E SUZIE LN, INVERNESS, FL 34452(352) 527-6888 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Sep 18, 2024 (2 updates tracked since 2024).

About Pedim Outreach And Specialty Clinic Llc NPPES

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

PEDIM OUTREACH AND SPECIALTY CLINIC LLC (NPI 1710674205) is a healthcare organization registered as an internal medicine in Inverness, Florida and active in the NPI registry since April 2023. The organization lists Dacelin St Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1710674205
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePEDIM OUTREACH AND SPECIALTY CLINIC LLC
Location Address3565 E SUZIE LNInverness, FL 34452-3250
Mailing AddressPo Box 2066Lecanto, FL 34460-2066 · (352) 634-8736
Phone(352) 527-6888
Organization SubpartNo
Authorized OfficialDacelin St MartinOwner · (352) 684-8736
Enumeration DateApril 24, 2023
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1710674205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
3565 E SUZIE LN, Inverness, FL 34452
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Other Names 1

Other NamePedim Outreach Inverness

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

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.

DONALD E FEDOR MS,LMHC
Counselor (Mental Health)
3565 E SUZIE LN
INVERNESS, FL 34452
Citrus County (352) 344-4497
THERAPEUTIC HEALTH ENDEAVORS INSTITUTE INC
Community/Behavioral Health
3565 E SUZIE LN
INVERNESS, FL 34452
Citrus County (352) 476-4364

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 Pedim Outreach And Specialty Clinic LLC's NPI number?

The NPI number for Pedim Outreach And Specialty Clinic LLC is 1710674205. It was assigned to this organization in the NPPES registry on April 24, 2023. The provider is also known as PEDIM Outreach Inverness.

Where is Pedim Outreach And Specialty Clinic LLC located?

Pedim Outreach And Specialty Clinic LLC is located at 3565 E Suzie Ln, Inverness, FL 34452. The listed phone number is (352) 527-6888.

What is Pedim Outreach And Specialty Clinic LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Pedim Outreach And Specialty Clinic LLC was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.