LIBERTY WALK IN CLINIC
NPI 1124057955
Internal Medicine in Brandon, FL

NPI Status: Active since July 02, 2006

Contact Information

1082 E BRANDON BLVD
BRANDON, FL
ZIP 33511
Phone: (813) 689-8900
Fax: (813) 653-9696

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  • Organization
  • Internal Medicine

About LIBERTY WALK IN CLINIC

This page provides the complete NPI Profile along with additional information for Liberty Walk In Clinic, an internist established in Brandon, Florida operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1124057955 assigned on July 2006. The practitioner's primary taxonomy code is 207R00000X with license number ME59912 (FL). The provider is registered as an organization and their NPI record was last updated 17 years ago. Liberty Walk In Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Liberty Walk In Clinic. The authorized official of this NPI record is Mr. Amarjit S. Dhaliwal (Ceo President)

NPI
1124057955
Provider Legal Name
PARSONS WALK IN CLINIC
Other Organization Name
LIBERTY WALK IN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1082 E BRANDON BLVD BRANDON, FL 33511
Location Phone
(813) 689-8900
Location Fax
(813) 653-9696
Mailing Address
PO BOX 3550 BRANDON, FL 33509
Mailing Phone
(813) 689-8900
Mailing Fax
(813) 653-9696
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-02-2006
Last Update Date
05-23-2008
Code Navigator

An internist like Liberty Walk In Clinic is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME59912
License State
FL
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

ME96113 (FL)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

ME98549 (FL)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. AMARJIT S. DHALIWAL

Authorized Official Title
CEO PRESIDENT
Authorized Official Phone
(813) 689-8900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
14348TMEDICARE PIN (08)FL 
F09730MEDICARE UPIN (02)FL 

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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.
1124057955
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440514910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 5 + 1 + 4 + 9 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1124057955 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1962496059 ROSY MANCHANDA MD
Individual
Internal Medicine1082 E BRANDON BLVD
BRANDON, FL 33511
(813) 689-9900
1114956935PARSONS MEDICAL CENTER
Organization
Internal Medicine1082 E BRANDON BLVD
BRANDON, FL 33511
(813) 689-9900
1093366445 CASSANDRA B JENKINS
Individual
Nurse Practitioner (Family)1082 E BRANDON BLVD
BRANDON, FL 33511
(813) 689-9900
1578138871DR. REINIER ROBAYNA-ORTEGA MD
Individual
Family Medicine1082 E BRANDON BLVD
BRANDON, FL 33511
(813) 689-9900
1861019457MRS. FELICIA ROSE BRAMWELL-WILLIAMS APRN
Individual
Nurse Practitioner (Family)1082 E BRANDON BLVD
BRANDON, FL 33511
(813) 689-9900
1598277824 SHAREE DENISE ROGERS
Individual
Nurse Practitioner (Family)1082 E BRANDON BLVD
BRANDON, FL 33511
(813) 689-9900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124057955, enumerated in the NPI registry as an "organization" on July 02, 2006

The provider is located at 1082 E Brandon Blvd Brandon, Fl 33511 and the phone number is (813) 689-8900

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 02, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.