SPECIALIZED HEALTH LLC
NPI 1639890528
Internal Medicine - Hematology & Oncology in Jacksonville, FL
NPI Status: Active since September 08, 2022
Contact Information
12724 GRAN BAY PKWY W STE 410
JACKSONVILLE, FL
ZIP 32258
Phone: (404) 500-6911
Fax: (904) 663-0273
- Organization
- Internal Medicine
- Hematology & Oncology
- CLIA Number: 10D2275922
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-30-2025
About SPECIALIZED HEALTH LLC
This page provides the complete NPI Profile along with additional information for Specialized Health Llc, an internist established in Jacksonville, Florida operating as a Internal Medicine, focusing in hematology & oncology . The healthcare provider is registered in the NPI registry with number 1639890528 assigned on September 2022. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated one year ago. Specialized Health Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Sameer Baig Md (Owner/physician)
- NPI
- 1639890528
- Provider Name
- SPECIALIZED HEALTH LLC
- Entity Type
- Organization
- Location Address
- 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258
- Location Phone
- (404) 500-6911
- Location Fax
- (904) 663-0273
- Mailing Address
- 52 TUSCAN WAY STE 202 #265 SAINT AUGUSTINE, FL 32092
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-08-2022
- Last Update Date
- 02-20-2025
- Code Navigator
An internist like Specialized Health Llc 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.
Location Map
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 Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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.
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
- 10D2275922
- Facility Type
- Physician Office
- Certificate Effective Date
- January 31, 2023
- Certificate Expiration Date
- January 30, 2025
- Laboratory Director
- SANAD ALSHAREEF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Specialized Health Llc 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. | |||||||||
| 1 | 6 | 3 | 9 | 8 | 9 | 0 | 5 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 16 | 9 | 0 | 5 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 6 + 9 + 0 + 5 + 4 + 24 = 72 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 72 = 8 | 8 | ||||||||
The NPI number 1639890528 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1255979639 | ALLSTAR HOME CARE LLC Organization | Home Health | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (904) 574-5200 |
| 1649309006 | ANITA MORENO LISW Individual | Social Worker (Clinical) | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (904) 337-9003 |
| 1922616788 | MAY ENTERPRISES LLC Organization | Public Health or Welfare | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (904) 383-0741 |
| 1710343538 | MISS AMBER BEARD Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1265047039 | DEVIN LAWHORNE Individual | Behavior Technician | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1851761670 | NATALIE NATER Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1124410568 | REBEKAH F KLEMPIN Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1760042113 | BRETT C MICHAEL Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1134578198 | ASHLEY BROWN BCBA Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1295206837 | OLIVIA BROOKS Individual | Behavior Technician | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1063862068 | SINEAD MCCARTHY Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (772) 349-6317 |
| 1386219285 | OPTIMUM CARE HOME HEALTH & NURSING SERVICES LLC Organization | Home Health | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (410) 300-6957 |
| 1528638038 | MISS MADISON LEIGH GOTRO RBT Individual | Technician, Other | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1700331170 | AYNA CAMERO PEREZ BCBA Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (551) 482-0141 |
| 1962953646 | KELLY MARIE CROWELL M. ED., BCBA, LBA Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (407) 718-9710 |
| 1265889943 | MRS. DANIELLE LYNNE REED BCBA Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1588124192 | MRS. ALICE PEARL Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1609382704 | MS. CANDACE JOY MARIN RBT Individual | Behavior Analyst | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1720740467 | KARLI HANNAH BROOKS Individual | Behavior Technician | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
| 1578220927 | SHANTRELL LUCIANA MCFARLAND Individual | Behavior Technician | 12724 GRAN BAY PKWY W STE 410 JACKSONVILLE, FL 32258 (855) 832-6727 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639890528, enumerated in the NPI registry as an "organization" on September 08, 2022
The provider is located at 12724 Gran Bay Pkwy W Ste 410 Jacksonville, Fl 32258 and the phone number is (404) 500-6911
This medical organization specializes in Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider's CLIA number is 10D2275922 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on September 08, 2022. 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].
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