66101 SUNSET STRIP,LLC – NPI #1235433749
Clinic/Center

66101 SUNSET STRIP,LLC is an AHC clinic located in BOCA RATON, FL. NPPES has assigned the NPI number 1235433749 to 66101 SUNSET STRIP,LLC on December 28, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 66101 SUNSET STRIP,LLC below.

NPI Profile for
66101 SUNSET STRIP,LLC

NPI Number
1235433749
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
66101 SUNSET STRIP,LLC
Primary location
40 SOUTH EAST 5TH STREET, SUITE 406
BOCA RATON, FL 33432
Phone: (561) 368-7118 Fax: (561) 368-7116
Mailing address
40 SE 5TH ST STE 406
BOCA RATON, FL 33432-6003
Phone: (561) 368-7118 Fax: (561) 368-7116
Organization Subpart
No
Authorized Official
THOMAS MEDNOLIA
VP
Phone: (336) 575-2833
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 NJ 22512

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.