Pedim Outreach and Specialty Clinic LLC
NPI 1558128819 · Family Medicine Physician · Lecanto, FL
Pedim Outreach and Specialty Clinic LLC is a Family Medicine Physician organization in Lecanto, FL (NPI 1558128819).
Provider details
- NPI number
- 1558128819
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dacelin St Martin, Owner(352) 527-6888
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-03-04
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Frequently asked questions
- What is Pedim Outreach and Specialty Clinic LLC's NPI number?
- Pedim Outreach and Specialty Clinic LLC's National Provider Identifier (NPI) is 1558128819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pedim Outreach and Specialty Clinic LLC?
- Pedim Outreach and Specialty Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pedim Outreach and Specialty Clinic LLC located?
- Pedim Outreach and Specialty Clinic LLC's practice location on file with NPPES is 2805 W Flare Ln, Lecanto, FL 34461.
- What is Pedim Outreach and Specialty Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Pedim Outreach and Specialty Clinic LLC is (352) 527-6888.
- Who is the authorized official for Pedim Outreach and Specialty Clinic LLC?
- The authorized official listed on Pedim Outreach and Specialty Clinic LLC's NPPES record is Dacelin St Martin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pedim Outreach and Specialty Clinic LLC's NPI active?
- Yes — Pedim Outreach and Specialty Clinic LLC's NPI (1558128819) is active in the NPPES registry as of the last update on 2025-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.