Aegle Group Llc

LBN: Aegle Group Llc
Aegle Group Llc is an health care organization with primary practice located at 3003 S Highway 77 Ste F , Lynn Haven FL 32444-5627. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Aegle Group Llc can be contacted via phone (850) 250-5757, or through Maclaren, Michael John via phone (850) 250-5757.

Contact Information

Primary practice address
3003 S Highway 77 Ste F Lynn Haven FL 32444-5627
Phone: (850) 250-5757
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Maclaren, Michael John MHHA
Phone: (850) 250-5757

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X

Profile Details

NPI number 1053809574
LBN Legal business name Aegle Group Llc
DBA Doing business as
Authorized official Maclaren, Michael John MHHA
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2018
Last updated Oct 29th, 2019 - about 5 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 1053809574 NPPES
Florida MEDICAID 710189

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