Wesley Chapel Walk in Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESLEY CHAPEL WALK IN CLINIC LLC

Practice address

2553 Windguard Cir
Wesley Chapel, FL 33544-7351

Phone

(727) 458-7461

NPI assigned

Sep 30, 2010

Last updated

Sep 30, 2010By 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

Bo Haddle

Title

Operations Manager

Phone

(727) 458-7461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1346559903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2553 WINDGUARD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2553 WINDGUARD CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447351",
            "telephone_number": "727-458-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESLEY CHAPEL WALK IN CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "HADDLE",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "727-458-7461"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.