WALK IN MEDICAL CLINIC AND FITNESS CENTER, LLC (NPI# 1518268283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518268283 |
| Entity Type | Organization |
| Organization Name | WALK IN MEDICAL CLINIC AND FITNESS CENTER, LLC |
| Practice Address |
3105 Innovation Dr Ste A Saint Cloud FL 34769-6501 |
| Practice Telephone | 4074980539 |
| Practice Fax Number | 8772032038 |
| Mailing Telephone | 4074980539 |
| Mailing Fax Number | 8772032038 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-11 |
| Authorized Official Name | DR. NICANOR C. LOPEZ (OWNER) |
| Authorized Official Telephone | 2674758447 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MD037726L | PA | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | 105419 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICARE ID-TYPE UNSPECIFIED | 550663UKE | 01 |
| NJ | HORIZON NJ HEALTH | 60018874 | 01 |
| FL | 001759700 | 05 | |
| NJ | 5114306 | 05 | |
| NJ | AMERIHEALTH | 0368398000 | 01 |
| Street Address |
3105 INNOVATION DR STE A |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780295618 | Unutrition LLC | Clinic/Center | 500 Moonlight Ct, Saint Cloud, FL 34771-9062 | 2020-08-13 |
| 1770115537 | Therapy World LLC | Clinic/Center | 4111 Neptune Rd, Saint Cloud, FL 34769-6741 | 2020-02-10 |
| 1285198663 | Center for Life Transitions | Clinic/Center | 38 24th Ave N, Saint Cloud, MN 56303-4340 | 2019-01-30 |
| 1720561087 | Ideal Option, Pllc | Clinic/Center | 451 E Saint Germain St Ste 200, Saint Cloud, MN 56304-0759 | 2018-09-12 |
| 1083164255 | Centracare Health System | Clinic/Center | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2016-10-11 |
| 1164978219 | Centracare Clinic | Clinic/Center | 3701 12th St N, Suite 100, Saint Cloud, MN 56303-2255 | 2016-08-29 |
| 1821471962 | Breath of Life Diagnostics | Clinic/Center | 3505 Progress Ln, Saint Cloud, FL 34769-6519 | 2015-07-07 |
| 1669807897 | Centracare Health System | Clinic/Center | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2013-09-06 |
| 1275818858 | Abdul B Lodhi Md Pa | Clinic/Center | 1600 Budinger Ave Ste A, Saint Cloud, FL 34769-6007 | 2011-10-14 |
| 1982937827 | Keith Larson Neurology Pllc | Clinic/Center | 1511 Northway Dr, Suite 202, Saint Cloud, MN 56303-1261 | 2009-09-10 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on WALK IN MEDICAL CLINIC AND FITNESS CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.