NPI Database
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Contact Information

MEDFAST
4061 58TH AVENUE N LOT 325
PINELLAS PARK, FL33781
 Phone: 631-552-2859
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Transportation Network Company

342000000X
 

Non-emergency Medical Transport (VAN)

343900000X
Indicates primary specialty

NPI Profile & details for MEDFAST

NPI # 1497638241
LBN Legal business name MEDFAST
Authorized official DANIEL SMOCER - (AMBR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2025
Last updated 08/02/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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