Apd - Tacachale

LBN: Apd - Tacachale
Apd - Tacachale is an health care organization with primary practice located at 1621 Ne Waldo Rd , Gainesville FL 32609-3900. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Apd - Tacachale can be contacted via phone (352) 955-5616, or through Thomas, Don E via phone (352) 955-5856.

Contact Information

Primary practice address
1621 Ne Waldo Rd Gainesville FL 32609-3900
Phone: (352) 955-5616
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Don E
Phone: (352) 955-5856

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN8807 Florida

Profile Details

NPI number 1275771560
LBN Legal business name Apd - Tacachale
DBA Doing business as
Authorized official Thomas, Don E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2009
Last updated Mar 26th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275771560 NPPES
Florida MEDICAID 681084596

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