Organization
WALK IN MEDICAL CLINIC AND FITNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICANOR C. LOPEZ M.D. (OWNER)
(267) 475-8447
Entity
Organization
Contact information
Practice address
3105 INNOVATION DR STE A, SAINT CLOUD, FL 34769-6501
(407) 498-0539
(877) 203-2038
Mailing address
3105 INNOVATION DR STE A, SAINT CLOUD, FL 34769-6501
(407) 498-0539
(877) 203-2038
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
105419
FL
261QP2300X
Primary Care Clinic/Center
MD037726L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001759700
—
FL
01
—
0368398000
AMERIHEALTH
NJ
05
—
5114306
—
NJ
01
—
550663UKE
MEDICARE ID-TYPE UNSPECIFIED
NJ
01
—
60018874
HORIZON NJ HEALTH
NJ
Enumeration date
11/10/2010
Last updated
11/11/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us