CITY OF ST CLOUD
NPI 1790459832
Clinic/Center - Multi-Specialty in Saint Cloud, FL

NPI Status: Active since August 03, 2021

Contact Information

2950 LAKESHORE BLVD
SAINT CLOUD, FL
ZIP 34769
Phone: (407) 957-7217
Fax: (508) 885-5400

Get Directions Reviews

  • Organization
  • Clinic/Center
  • Multi-Specialty

About CITY OF ST CLOUD

This page provides the complete NPI Profile along with additional information for City Of St Cloud, a provider established in Saint Cloud, Florida operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1790459832 assigned on August 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as City Of St Cloud. The authorized official of this NPI record is Jonathan Leizman (President)

NPI
1790459832
Provider Legal Name
PREMISE HEALTH OF FLORIDA MEDICAL, P.A.
Other Organization Name
CITY OF ST CLOUD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2950 LAKESHORE BLVD SAINT CLOUD, FL 34769
Location Phone
(407) 957-7217
Location Fax
(508) 885-5400
Mailing Address
5500 MARYLAND WAY BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-03-2021
Last Update Date
07-13-2022
Code Navigator

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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

JONATHAN LEIZMAN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(216) 479-9063

Reviews for CITY OF ST CLOUD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

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.
1790459832
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180851886
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 8 + 5 + 1 + 8 + 8 + 6 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 22

The NPI number 1790459832 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336986256EVERNORTH DIRECT HEALTH LLC
Organization
Clinic/Center2950 LAKESHORE BLVD
SAINT CLOUD, FL 34769
(623) 277-1190

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790459832, enumerated in the NPI registry as an "organization" on August 03, 2021

The provider is located at 2950 Lakeshore Blvd Saint Cloud, Fl 34769 and the phone number is (407) 957-7217

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on August 03, 2021. 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.