Promed Walk in Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ARNP3141172 Issued in FL

Legal business name

PROMED WALK IN CLINIC INC

Practice address

1703 SW 2ND Ave
Okeechobee, FL 34974-6169

Phone

(863) 467-7377

NPI assigned

Nov 1, 2007

Last updated

Nov 1, 2007By 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

Carol Lynn Johns

Title

President

Phone

(863) 467-7377

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Robert W Scarnecchia, D.C.

  • Chiropractor
  • Okeechobee, FL
  • NPI 1942200753
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1467631861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 SW 2ND AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349746169",
            "telephone_number": "863-467-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 SW 2ND AVE",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349746169",
            "telephone_number": "863-467-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED WALK IN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-467-7377"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ARNP3141172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Y9729Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "Y9729",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Kevin Platt, D.C.
• Dorian Poma Rodriguez, RBT
• Jane Clarissa Powell
• Premier Rapid Care LLC
• Professional Respiratory Home Care, Inc.
• Publix Super Markets Inc (Publix Pharmacy #0118)
• Puzzlement Therapy Services LLC
• Kimberly Rowland Queen, APRN
• Rachel Toney
• Donald Jack Raley, PT

• Primary Care Clinic/Center in Okeechobee, FL
• Providers in Okeechobee, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.