Pedim Outreach And Specialty Clinic Llc is a outpatient physical therapy center in Lecanto, Florida. It is situated at 1982 N Prospect Ave, Lecanto and its contact number is 352-563-0931. The authorized person of Pedim Outreach And Specialty Clinic Llc is Dacelin St Martin
who is Medical Director of the center and their contact number is 352-563-0931.
Pedim Outreach And Specialty Clinic Llc Center A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Complete Center Profile:
Pedim Outreach And Specialty Clinic Llc Center speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Specialization:
Durable Medical Equipment & Medical Supplies
Center Address:
1982 N Prospect Ave, Lecanto, Florida, 34461
Phone:
352-563-0931
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this Center are as below. Person's position and contact details are also mentioned below.
Name:
Dacelin St Martin
Position:
Medical Director
Contact Number:
352-563-0931
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pedim Outreach And Specialty Clinic Llc Center are as mentioned below.
NPI Number:
1851848097
NPI Enumeration Date:
06 Sep, 2016
NPI Last Update On:
13 Feb, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pedim Outreach And Specialty Clinic Llc are as mentioned below.
Specialization
License Number
State
Status
Internal Medicine
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Sleep Medicine
Secondary
Sleep Medicine
Secondary
Physical Therapy
Secondary
Sleep Disorder Diagnostic
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the Center such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
103596200
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pedim Outreach And Specialty Clinic Llc Po Box 2066, Lecanto, Florida
Zip:
34460-2066
Phone Number:
352-563-0931
Fax Number:
352-563-0935
Patients can reach Pedim Outreach And Specialty Clinic Llc at 1982 N Prospect Ave, Lecanto, Florida or can call to book an appointment on 352-563-0931. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.