Picc Central LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN9222948 Issued in FL

Legal business name

PICC CENTRAL LLC

Practice address

119 E Woodland Dr
Sanford, FL 32773-5853

Phone

(321) 231-9576

Fax

(407) 302-0449

NPI assigned

Mar 20, 2009

Last updated

Mar 20, 2009By 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

Tamara L Hepp, RN

Title

Member Manager

Phone

(321) 231-9576

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1700027760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E WOODLAND DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735853",
            "telephone_number": "321-231-9576",
            "fax_number": "407-302-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E WOODLAND DR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327735853",
            "telephone_number": "321-231-9576",
            "fax_number": "407-302-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICC CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-20",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "HEPP",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "321-231-9576",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9222948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie B Phillip
• Klaudya Phillips
• Physical Therapy Now Sanford LLC (Physical Therapy Now Sanford)
• Physician Associates LLC
• Gary James Piacentine, PT
• Alyssia Pierce, CPT, CCMA
• Robert Donald Pierre II, D.M.D.
• Aravind N Pillai, MD
• Suzanne Beth Pinsky, PHARMD
• John Kelly Pitkethly Jr., CBHT

• Registered Nurse in Sanford, FL
• Providers in Sanford, FL by specialty
• Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; 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.