Center of Change Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME216938 Issued in FL

Legal business name

CENTER OF CHANGE INC.

Practice address

235 Citrus Tower Blvd Ste 104
Clermont, FL 34711

Phone

(772) 663-2492

NPI assigned

Jan 5, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Obed N Saint-Louis, MDNPI 1558541839

Title

Owner

Phone

(772) 663-2492

Specialties & licenses 1

Addresses

Other names 1

• Center of Change Inc. Former legal business name

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.

• Obed Nasson Saint-Louis, M.D.

  • Addiction Medicine (Family Medicine) Physician
  • Clermont, FL
  • NPI 1558541839
  Authorized official Same address or phone

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1306353842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 CITRUS TOWER BOULEVARD",
            "address_2": "SUITE 104",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-404-8160",
            "fax_number": "352-404-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CITRUS TOWER BLVD STE 104",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "772-663-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF CHANGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "SAINT-LOUIS",
        "authorized_official_first_name": "OBED",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-663-2492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME216938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center of Change Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Center of Change Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; 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.