Active NPI
Hope Medical Clinic, Inc
- Primary Care Clinic/Center
- Destin, FL
National Provider Identifier
1750527644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- ME82437
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.