Ardent Family Care Pa

LBN: Ardent Family Care Pa
Ardent Family Care Pa is an health care organization with primary practice located at 84 Pinnacles Dr Ste 200 , Palm Coast FL 32164-2324. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Ardent Family Care Pa can be contacted via phone (386) 439-9777, or through Alfonso, Renato Ascensio via phone (386) 439-9777.

Contact Information

Primary practice address
84 Pinnacles Dr Ste 200 Palm Coast FL 32164-2324
Phone: (386) 439-9777
Fax: (386) 206-0015
Website:
Map and Directions
Authorized official contact:
Name: Alfonso, Renato Ascensio Doctor of Medicine (MD)
Phone: (386) 439-9777

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X D049 Florida

Profile Details

NPI number 1225131477
LBN Legal business name Ardent Family Care Pa
DBA Doing business as
Authorized official Alfonso, Renato Ascensio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Jul 15th, 2009 - about 15 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 1225131477 NPPES
Florida MEDICAID 253950100

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