Lwcmdiv, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LWCMDIV, LLC

Doing business as

Mdiv

Practice address

2150 49TH St N
Suite C
Saint Petersburg, FL 33710-5237

Phone

(727) 321-6130

Fax

(727) 327-2677

NPI assigned

Sep 3, 2014

Last updated

Sep 3, 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

William A La Torre, D.C.

Title

Managing Partner

Phone

(727) 321-6130

Specialties & licenses 1

Addresses

Other names 1

• MDIV Doing business as

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1427458868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 49TH ST N",
            "address_2": "SUITE C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337105237",
            "telephone_number": "727-321-6130",
            "fax_number": "727-327-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 49TH ST N",
            "address_2": "SUITE C",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337105237",
            "telephone_number": "727-321-6130",
            "fax_number": "727-327-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LWCMDIV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "LA TORRE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "727-321-6130",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDIV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vivian Ly, MSW
• Melissa Lybarger, HIS
• Lynn L Lybrand, PAC
• Caitlin Rose Lynch, APRN
• Dawn Marie Lynch, PT

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.