OrganizationActive
Club2,llc
NPI 1629412515 · Emergency Care Clinic/Center · Gulf Breeze, FL
Provider details
- NPI number
- 1629412515
- Entity type
- Organization
- Primary specialty
- Emergency Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Henning, Medical Director(850) 696-9556
- License
- ME93462 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1230 Crane Cove Blvd
Gulf Breeze, FL 32563-3191
Phone: (850) 934-6659
Street-level locationGet directions
Mailing address
1175 Mary Kate Dr
Gulf Breeze, FL 32563-5542
Registry dates
- Enumerated
- 2013-04-22
- Last updated
- 2013-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.