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NPI 1407256308ActiveOrganization· Exclusive Provider Organization· Longwood, FL

Exclusive Provider Organization in Longwood, Florida, registered in NPPES in August 2014. The authorized official on file is Taryn James, RPHT, CPHT, Ceo.

Overview

NPI1407256308
StatusActive
Entity typeOrganization
NPI issuedAug 27, 2014
Last updated in NPPESAug 27, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Exclusive Provider Organization providers in Longwood

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