NPI 1366861395 · live from the CMS NPI Registry
Focusal1011, LLC
Pediatrics, Adolescent Medicine in Fort Payne, AL. National Provider Identifier 1366861395, active.
NPI record
| NPI | 1366861395 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Adolescent Medicine 2080A0000X |
| Practice location | 2202 Jordan Rd Sw Ste 501, Fort Payne, AL 35968 |
| Practice phone | 888-414-5810 |
| Mailing address | Po Box 8159, Mobile, AL 36689 |
| Enumerated | April 7, 2014 |
| Last updated | April 7, 2014 |
| Authorized official | Frine Roca, Owner/Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | — |
| Pediatrics, Adolescent Medicine primary | 2080A0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.