Provider Demographics
NPI:1699044586
Name:N&L LLC
Entity Type:Organization
Organization Name:N&L LLC
Other - Org Name:COMMUNITY WALK IN CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-988-2700
Mailing Address - Street 1:10801 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-3646
Mailing Address - Country:US
Mailing Address - Phone:813-988-2700
Mailing Address - Fax:813-988-2779
Practice Address - Street 1:10801 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-3646
Practice Address - Country:US
Practice Address - Phone:813-988-2700
Practice Address - Fax:813-988-2779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL9597OtherAHCA