Purposely Evolving Medical Clinic

LBN: Purposely Evolving
Purposely Evolving Medical Clinic is an health care organization with primary practice located at 1810 S Pinellas Ave Ste B , Tarpon Springs FL 34689-1989. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Purposely Evolving can be contacted via phone (727) 937-6060, or through Paschal, Dominique via phone (727) 937-6060.

Contact Information

Primary practice address
1810 S Pinellas Ave Ste B Tarpon Springs FL 34689-1989
Phone: (727) 937-6060
Fax: (727) 937-6030
Website:
Map and Directions
Authorized official contact:
Name: Paschal, Dominique Advanced Practice Registered Nurse (APRN)
Phone: (727) 937-6060

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1609582782
LBN Legal business name Purposely Evolving
DBA Doing business as Purposely Evolving Medical Clinic
Authorized official Paschal, Dominique Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2023
Last updated Aug 9th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609582782 NPPES
Florida Other 1083178040 NPI
Florida Other 1013086917 NPI

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