Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pedim Outreach and Specialty Clinic LLC

Organization Family Medicine Physician · NPI 1558128819

Pedim Outreach and Specialty Clinic LLC is a Family Medicine Physician in Lecanto, Florida. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2805 W Flare Ln
Lecanto, FL 34461
Phone: (352) 527-6888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Clinic/Center Taxonomy 261Q00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1558128819
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dacelin St Martin — Owner · (352) 527-6888
NPI enumeratedMarch 4, 2024
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing addressPo Box 2066, Lecanto, FL 34460-2066

Other providers in Lecanto