NPIMap

Organization Active NPI

Camillian Medical Center, LLC

  • Internal Medicine Physician
  • Dunedin, FL
National Provider Identifier
1205438967
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CAMILLIAN MEDICAL CENTER, LLC
Practice address
2128 Main St
Dunedin, FL 34698-5604
Phone
(727) 736-7733
NPI assigned
Nov 9, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Dr. Beverly Encarnacion, MDNPI 1659331270
Title
Physician
Phone
(727) 736-7733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2128 Main St
Dunedin, FL 34698-5604

Mailing address

2128 Main St
Dunedin, FL 34698-5604
Phone (727) 736-7733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1205438967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2128 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985604",
            "telephone_number": "727-736-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2128 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985604",
            "telephone_number": "727-736-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILLIAN MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A",
        "authorized_official_last_name": "ENCARNACION",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-736-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.