Advanced Kids Urgent Care Professionals Llc

LBN: Advanced Kids Urgent Care Professionals Llc
Advanced Kids Urgent Care Professionals Llc is an health care organization with primary practice located at 98 Terra Mango Loop 12, Orlando FL 32835-8515. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Advanced Kids Urgent Care Professionals Llc can be contacted via phone (407) 612-4007, or through Antonyrajah, Bernadette via phone (419) 819-7137.

Contact Information

Primary practice address
98 Terra Mango Loop 12 Orlando FL 32835-8515
Phone: (407) 612-4007
Fax: (407) 612-4017
Website:
Map and Directions
Authorized official contact:
Name: Antonyrajah, Bernadette Doctor of Medicine (MD)
Phone: (419) 819-7137

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 113681 Florida

Profile Details

NPI number 1538651120
LBN Legal business name Advanced Kids Urgent Care Professionals Llc
DBA Doing business as
Authorized official Antonyrajah, Bernadette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2018
Last updated Oct 9th, 2018 - about 6 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 1538651120 NPPES
Florida MEDICAID 3108461

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