Organization Active NPI

Hope Medical Clinic, Inc

  • Primary Care Clinic/Center
  • Destin, FL
National Provider Identifier
1750527644
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME82437 Issued in FL
Legal business name
HOPE MEDICAL CLINIC, INC
Practice address
150 Beach Dr
Destin, FL 32541-2402
Phone
(850) 837-8050
Fax
(850) 837-2067
NPI assigned
Dec 23, 2008
Last updated
Dec 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Dr. John Luther Lentz Jr., MD
Title
Director for Board
Phone
(850) 837-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME82437 FL Primary

Addresses

Primary practice location

150 Beach Dr
Destin, FL 32541-2402

Mailing address

150 Beach Dr
Destin, FL 32541-2402
Phone (850) 837-8050

National Provider Directory

National Provider Directory

Locations

150 Beach Dr
Destin, FL 32541
Phone (850) 837-8050

NPI Registry JSON

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1750527644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BEACH DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412402",
            "telephone_number": "850-837-8050",
            "fax_number": "850-837-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BEACH DR",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412402",
            "telephone_number": "850-837-8050",
            "fax_number": "850-837-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "LENTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LUTHER",
        "authorized_official_title_or_position": "DIRECTOR FOR BOARD",
        "authorized_official_telephone_number": "850-837-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME82437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.