Burgundy Prime Inc

LBN: Burgundy Prime Inc
Burgundy Prime Inc is an health care organization with primary practice located at 430 Waymont Ct Ste 100 , Lake Mary FL 32746-6745. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Psychosomatic Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty. Burgundy Prime Inc can be contacted via phone (407) 878-0022, or through Malik, Abid via phone (407) 777-8084.

Contact Information

Primary practice address
430 Waymont Ct Ste 100 Lake Mary FL 32746-6745
Phone: (407) 878-0022
Fax: (407) 369-4267
Website:
Map and Directions
Authorized official contact:
Name: Malik, Abid Doctor of Medicine (MD)
Phone: (407) 777-8084

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Allopathic & Osteopathic Physicians / Obesity Medicine 2084B0002X
Allopathic & Osteopathic Physicians / Psychosomatic Medicine 2084P0015X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X

Profile Details

NPI number 1720557150
LBN Legal business name Burgundy Prime Inc
DBA Doing business as
Authorized official Malik, Abid Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2018
Last updated Nov 14th, 2018 - about 6 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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