Pedim Outreach and Specialty Clinic LLC
NPI 1710674205ActiveOrganization· Internal Medicine· Inverness, FL
Internal Medicine in Inverness, Florida, registered in NPPES in April 2023. The authorized official on file is Dacelin St Martin, MD, Owner.
Overview
| NPI | 1710674205 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2023 |
| Last updated in NPPES | Feb 13, 2025 |
| Certified by provider | Feb 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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