325 Mdg

LBN: 325 Mdg
325 Mdg is an health care organization with primary practice located at 325 Mdg Bldg 1305 Suwannee Ave, Tyndall Afb FL 32403. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. 325 Mdg can be contacted via phone (850) 283-7511, or through Nicholas, George via phone (850) 283-7515.

Contact Information

Primary practice address
325 Mdg Bldg 1305 Suwannee Ave Tyndall Afb FL 32403
Fax: (850) 283-7721
Website:
Authorized official contact:
Name: Nicholas, George

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY5848 Florida

Profile Details

NPI number 1568436962
LBN Legal business name 325 Mdg
DBA Doing business as
Authorized official Nicholas, George
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2006
Last updated Jun 13th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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