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Pedim Outreach and Specialty Clinic LLC

Family Medicine Physician in Lecanto, FL · enumerated 2024 · authorized official Dacelin St Martin, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558128819

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Registry record

Entity type Organization (Type 2)
Legal business name Pedim Outreach and Specialty Clinic LLC
Practice address 2805 W Flare Ln, Lecanto, FL, 34461
Enumeration date Mar 4, 2024
Last updated in NPPES Feb 13, 2025

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Dacelin St Martin
Title Owner

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Pedim Outreach and Specialty Clinic LLC?
NPPES lists Dacelin St Martin (Owner) as the authorized official for this organization.
What is the NPI number for Pedim Outreach and Specialty Clinic LLC?
The NPI for Pedim Outreach and Specialty Clinic LLC is 1558128819, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-13.