Boutiq Medical Clinic Llc

LBN: Boutiq Medical Clinic Llc
Boutiq Medical Clinic Llc is an health care organization with primary practice located at 1430 N Mills Ave Ste 120 , Orlando FL 32803-1877. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is the primary health care specialty. Boutiq Medical Clinic Llc can be contacted via phone (407) 777-2449, or through Buckalew, Karen L via phone (407) 777-2449.

Contact Information

Primary practice address
1430 N Mills Ave Ste 120 Orlando FL 32803-1877
Phone: (407) 777-2449
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Buckalew, Karen L APRN-C
Phone: (407) 777-2449

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1558947499
LBN Legal business name Boutiq Medical Clinic Llc
DBA Doing business as
Authorized official Buckalew, Karen L APRN-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2021
Last updated Apr 7th, 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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