C12 Medical Llc

LBN: C12 Medical Llc
C12 Medical Llc is an health care organization with primary practice located at 333 16Th Ave Se , Largo FL 33771-4407. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. C12 Medical Llc can be contacted via phone (727) 251-7782, or through Childers, Christian S via phone (727) 251-7782.

Contact Information

Primary practice address
333 16Th Ave Se Largo FL 33771-4407
Phone: (727) 251-7782
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Childers, Christian S
Phone: (727) 251-7782

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1972071801
LBN Legal business name C12 Medical Llc
DBA Doing business as
Authorized official Childers, Christian S
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2018
Last updated Nov 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972071801 NPPES
Florida Other OT10920 STATE LICENSE

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