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Pedim Outreach and Specialty Clinic LLC

Internal Medicine Physician in Lecanto, FL · enumerated 2016 · authorized official Dacelin St Martin, Owner.

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

National Provider Identifier

1851848097

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Registry record

Entity type Organization (Type 2)
Legal business name Pedim Outreach and Specialty Clinic LLC
Other name <Unavail>
Practice address 1982 N Prospect Ave, Lecanto, FL, 34461
Enumeration date Sep 6, 2016
Last updated in NPPES May 6, 2026

Taxonomy & classification

207QS1201X Sleep Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Primary
207RS0012X Sleep Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Secondary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
261QS1200X Sleep Disorder Diagnostic Clinic/Center Ambulatory Health Care Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Dacelin St Martin
Title Owner

Other identifiers

Identifier Type State Issuer
103596200 Medicaid FL -

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

What type of organization is Pedim Outreach and Specialty Clinic LLC?
Pedim Outreach and Specialty Clinic LLC is registered in NPPES as a Internal Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-06.