Born Again Doctor Llc
LBN: Born Again Doctor Llc
Born Again Doctor Llc is an health care organization with primary practice located at 10671 Emerald Chase Dr , Orlando FL 32836-5855. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty.
Born Again Doctor Llc can be contacted via phone (407) 645-1847, or through Ashraf, Sualeh via phone (407) 645-1847.
Contact Information
Primary practice address
10671 Emerald Chase Dr
Orlando FL 32836-5855
Phone: (407) 645-1847
Fax: (407) 978-6507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME83798 | Florida |
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME83798 | Florida |
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME83798 | Florida |
Profile Details
NPI number | 1821463688 |
---|---|
LBN Legal business name | Born Again Doctor Llc |
DBA Doing business as | |
Authorized official | Ashraf, Sualeh Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 4th, 2015 |
Last updated | Dec 4th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821463688 | NPPES |
Florida | Other | ME83798 | FLORIDA MEDICAL LICENSE |
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