Capernaum Medical Center For Kids Pllc

LBN: Capernaum Medical Center For Kids Pllc
Capernaum Medical Center For Kids Pllc is an health care organization with primary practice located at 5129 S. Lakland Drive Suite 1, Lakeland FL 33813-2599. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Capernaum Medical Center For Kids Pllc can be contacted via phone (863) 232-4323, or through Vernier, Eric Roberto via phone (863) 232-4323.

Contact Information

Primary practice address
5129 S. Lakland Drive Suite 1 Lakeland FL 33813-2599
Phone: (863) 232-4323
Fax: (863) 337-5728
Website:
Map and Directions
Authorized official contact:
Name: Vernier, Eric Roberto Doctor of Medicine (MD)
Phone: (863) 232-4323

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1518432038
LBN Legal business name Capernaum Medical Center For Kids Pllc
DBA Doing business as
Authorized official Vernier, Eric Roberto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2018
Last updated Oct 11th, 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 1518432038 NPPES
Florida MEDICAID 019415800

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