Bon Image Llc

LBN: Bon Image Llc
Bon Image Llc is an health care organization with primary practice located at 15439 Cortez Blvd , Brooksville FL 34613-6113. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Bon Image Llc can be contacted via phone (352) 593-4194, or through Sastry, Narendra S via phone (813) 786-0322.

Contact Information

Primary practice address
15439 Cortez Blvd Brooksville FL 34613-6113
Phone: (352) 593-4194
Fax: (352) 593-5828
Website:
Map and Directions
Authorized official contact:
Name: Sastry, Narendra S Doctor of Medicine (MD)
Phone: (813) 786-0322

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X ME63006 Florida

Profile Details

NPI number 1457622557
LBN Legal business name Bon Image Llc
DBA Doing business as
Authorized official Sastry, Narendra S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2012
Last updated May 5th, 2014 - about 11 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 1457622557 NPPES
Florida MEDICAID 371150100
Florida MEDICAID 064781100
Florida MEDICAID 006434900

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