Healthcare Provider Digital Endpoint |
|
NPI (National Provider Identifier)
|
1003408576
|
|
Endpoint Type
|
DIRECT (Direct Messaging Address)
|
|
Endpoint
|
Drmichael@drpeterbrockman.com
|
|
Endpoint Description
|
Email
|
|
Endpoint Affiliation
|
Y (Yes, Endpoint is affiliated with an NPI or EIN)
|
Endpoint Affiliation Information |
|
Affiliation Legal Business Name
|
South Lake Wellness & Injury Center, PL
|
|
Affiliation Legal Business Address
|
2745 Citrus Tower Blvd
Clermont FL
34711-6699
US
|
Healthcare Provider Digital Endpoint Use |
|
Use Code
|
HIE
|
|
Use Description
|
Health Information Exchange (HIE)
|
|
Other Use Description
|
|
Healthcare Provider Digital Endpoint Content |
|
Content Type
|
OTHER
|
|
Content Description
|
Other
|
|
Other Content Description
|
Direct address
|