Coast Orthopedic Center Pa

LBN: Coast Orthopedic Center Pa
Coast Orthopedic Center Pa is an health care organization with primary practice located at 1781 Garden St , Titusville FL 32796-3221. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Coast Orthopedic Center Pa can be contacted via phone (321) 269-4300, or through Glenn, James D. via phone (321) 269-4300.

Contact Information

Primary practice address
1781 Garden St Titusville FL 32796-3221
Phone: (321) 269-4300
Fax: (321) 269-7755
Website:
Map and Directions
Authorized official contact:
Name: Glenn, James D. Doctor of Medicine (MD)
Phone: (321) 269-4300

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME51090 Florida

Profile Details

NPI number 1760580104
LBN Legal business name Coast Orthopedic Center Pa
DBA Doing business as
Authorized official Glenn, James D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated May 24th, 2016 - about 9 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 1760580104 NPPES
Florida MEDICAID 046402300

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