Beach Medical Specialist Pa

LBN: Beach Medical Specialist Pa
Beach Medical Specialist Pa is an health care organization with primary practice located at 9860 Beach Blvd , Jacksonville FL 32246-4704. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Beach Medical Specialist Pa can be contacted via phone (904) 200-2978, or through Dizon, Alejandro Cabigting via phone (904) 200-2978.

Contact Information

Primary practice address
9860 Beach Blvd Jacksonville FL 32246-4704
Phone: (904) 200-2978
Fax: (904) 807-9114
Website:
Map and Directions
Authorized official contact:
Name: Dizon, Alejandro Cabigting Doctor of Medicine (MD)
Phone: (904) 200-2978

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME88405 Florida

Profile Details

NPI number 1720125479
LBN Legal business name Beach Medical Specialist Pa
DBA Doing business as
Authorized official Dizon, Alejandro Cabigting Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2007
Last updated Mar 6th, 2024 - about last year

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 1720125479 NPPES
Florida MEDICAID 272420100

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