Adolescent And Pediatric Medical Center

LBN: Adolescent And Pediatric Medical Center
Adolescent And Pediatric Medical Center is an health care organization with primary practice located at 1638 N Plaza Dr , Tallahassee FL 32308-5323. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Adolescent And Pediatric Medical Center can be contacted via phone (850) 878-5147, or through Henry, Lionel via phone (850) 878-5147.

Contact Information

Primary practice address
1638 N Plaza Dr Tallahassee FL 32308-5323
Phone: (850) 878-5147
Fax: (850) 942-9844
Website:
Map and Directions
Authorized official contact:
Name: Henry, Lionel Doctor of Medicine (MD)
Phone: (850) 878-5147

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X ME39184 Florida

Profile Details

NPI number 1093039562
LBN Legal business name Adolescent And Pediatric Medical Center
DBA Doing business as
Authorized official Henry, Lionel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2010
Last updated Mar 26th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093039562 NPPES
Florida MEDICAID 066082500

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