Organization Active NPI

St. Anne Medical Center Inc.

  • Health Service Clinic/Center
  • Lake Clarke Shores, FL
National Provider Identifier
1063607539
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
HCC6022 Issued in FL
Legal business name
ST. ANNE MEDICAL CENTER INC.
Practice address
1495 Forest Hill Blvd
Ste G
Lake Clarke Shores, FL 33406-6073
Phone
(561) 965-0009
Fax
(561) 965-0432
NPI assigned
Sep 7, 2007
Last updated
Sep 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Janna Maria Storino, AP
Title
President
Phone
(561) 965-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X HCC6022 FL Primary

Addresses

Primary practice location

1495 Forest Hill Blvd
Ste G
Lake Clarke Shores, FL 33406-6073

Mailing address

1495 Forest Hill Blvd
Ste G
Lake Clarke Shores, FL 33406-6073
Phone (561) 965-0009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1063607539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 FOREST HILL BLVD",
            "address_2": "STE G",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066073",
            "telephone_number": "561-965-0009",
            "fax_number": "561-965-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 FOREST HILL BLVD",
            "address_2": "STE G",
            "city": "LAKE CLARKE SHORES",
            "state": "FL",
            "postal_code": "334066073",
            "telephone_number": "561-965-0009",
            "fax_number": "561-965-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANNE MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "STORINO",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-965-0009",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "HCC6022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Clarke Shores, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.