Cisca Pulmonary Critical Care Inc
LBN: Cisca Pulmonary Critical Care Inc
Cisca Pulmonary Critical Care Inc is an health care organization with primary practice located at 1361 13Th Ave S Ste 245 , Jacksonville Beach FL 32250. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Cisca Pulmonary Critical Care Inc can be contacted via phone (904) 493-7174, or through Yeomans, Katie via phone (954) 935-4453.
Contact Information
Primary practice address
1361 13Th Ave S Ste 245
Jacksonville Beach FL 32250
Phone: (904) 493-7174
Fax: (904) 694-0696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X |
Profile Details
| NPI number | 1629326285 |
|---|---|
| LBN Legal business name | Cisca Pulmonary Critical Care Inc |
| DBA Doing business as | |
| Authorized official | Yeomans, Katie MHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 29th, 2012 |
| Last updated | Nov 17th, 2023 - about last year |
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 | 1629326285 | NPPES |
| Florida | MEDICAID | 009836500 | |
| Florida | MEDICAID | 2757133-00 |
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