Hni Ambulatory Services Of Florida, LLC
Internal Medicine in Fruit Cove, FL. Organization (NPI-2).
NPI number1245965482
StatusActive
Last updated in NPPESSep 3, 2026
Details
- NPI
- 1245965482
- Entity type
- Organization (NPI-2)
- Legal business name
- Hni Ambulatory Services Of Florida, LLC
- Organization subpart
- No
- Enumeration date
- Jul 21, 2022
- Certification date
- Sep 3, 2026
- Last updated
- Sep 3, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 103T00000X | Psychologist | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 2084A0401X | Psychiatry & Neurology, Addiction Medicine | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363AM0700X | Physician Assistant, Medical | – | – | |
| 363LF0000X | Nurse Practitioner, Family | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Practice location
25 State Road 13Fruit Cove, FL 32259-2842
Phone 904-287-7300
Mailing address
7500 Rialto Blvd Ste 140Austin, TX 78735-8534
Authorized official
Oon Soo Ung
Cfo
5127303060
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