Organization Active NPI

3XS PLLC

  • Family Medicine Physician
  • Brooksville, FL
National Provider Identifier
1467880682
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME102757 Issued in FL
Legal business name
3XS PLLC
Practice address
17222 Hospital Blvd
Suite 242
Brooksville, FL 34601-8925
Phone
(352) 796-5102
Fax
(352) 796-2144
NPI assigned
Oct 25, 2013
Last updated
Oct 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Dr. Lawandy Bolis, M.D.
Title
Physician
Phone
(352) 796-5102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X ME102757 FL Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X PO3351 FL

Addresses

Primary practice location

17222 Hospital Blvd
Suite 242
Brooksville, FL 34601-8925

Mailing address

14391 Spring Hill Dr
Suitee 444
Spring Hill, FL 34609-8199
Phone (352) 796-5102

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1382659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1467880682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14391 SPRING HILL DR",
            "address_2": "SUITEE 444",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346098199",
            "telephone_number": "352-796-5102",
            "fax_number": "352-796-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17222 HOSPITAL BLVD",
            "address_2": "SUITE 242",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346018925",
            "telephone_number": "352-796-5102",
            "fax_number": "352-796-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3XS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-25",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "BOLIS",
        "authorized_official_first_name": "LAWANDY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "352-796-5102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME102757",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooksville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.