Club2,Llc

LBN: Club2,Llc
Club2,Llc is an health care organization with primary practice located at 1230 Crane Cove Blvd , Gulf Breeze FL 32563-3191. The organization recently has only one registered license in Ambulatory Health Care Facilities / Emergency Care, which is considered as the primary health care specialty. Club2,Llc can be contacted via phone (850) 934-6659, or through Henning, Paul Roebuck via phone (850) 696-9556.

Contact Information

Primary practice address
1230 Crane Cove Blvd Gulf Breeze FL 32563-3191
Phone: (850) 934-6659
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Henning, Paul Roebuck Doctor of Medicine (MD)
Phone: (850) 696-9556

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Emergency Care 261QE0002X ME93462 Florida

Profile Details

NPI number 1629412515
LBN Legal business name Club2,Llc
DBA Doing business as
Authorized official Henning, Paul Roebuck Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2013
Last updated Apr 22nd, 2013 - about 12 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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