Premier Walk in Clinic & Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME65736 Issued in FL

Legal business name

PREMIER WALK IN CLINIC & PRIMARY CARE LLC

Doing business as

Premier Walk in Clinic

Practice address

5676 S Florida Ave
Lakeland, FL 33813-2526

Phone

(863) 644-3400

Fax

(863) 619-2400

NPI assigned

Jan 21, 2007

Last updated

Oct 16, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Narinder S Brar, MDNPI 1972582054

Title

Owner

Phone

(863) 644-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Premier Walk in Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Narinder S Brar, MD

  • Internal Medicine Physician
  • Lakeland, FL
  • NPI 1972582054
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1033262019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132526",
            "telephone_number": "863-644-3400",
            "fax_number": "863-619-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132526",
            "telephone_number": "863-644-3400",
            "fax_number": "863-619-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WALK IN CLINIC & PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-21",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "BRAR",
        "authorized_official_first_name": "NARINDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-644-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME65736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "K9032",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Walk in Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.