Beacon Primary Care Llc

LBN: Beacon Primary Care Llc
Beacon Primary Care Llc is an health care organization with primary practice located at 17819 Tidewater Bay Ln , Lutz FL 33549-5419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Beacon Primary Care Llc can be contacted via phone (813) 447-9249, or through Penrod, Tyler via phone (832) 289-9225.

Contact Information

Primary practice address
17819 Tidewater Bay Ln Lutz FL 33549-5419
Phone: (813) 447-9249
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Penrod, Tyler
Phone: (832) 289-9225

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1184384349
LBN Legal business name Beacon Primary Care Llc
DBA Doing business as
Authorized official Penrod, Tyler
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2021
Last updated Dec 29th, 2021 - about 3 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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