Traditional Medicine Center
LBN: Coles Healthcare Services Inc
Traditional Medicine Center is an health care organization with primary practice located at 3898 W Commercial Blvd , Tamarac FL 33309-3326. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Coles Healthcare Services Inc can be contacted via phone (754) 444-8826, or through Coles, Donald via phone (954) 593-5524.
Contact Information
Primary practice address
3898 W Commercial Blvd
Tamarac FL 33309-3326
Phone: (754) 444-8826
Fax:
Website:
Authorized official contact:
Name: Coles, Donald Physician's Assistant Certified (PA-C)
Phone: (954) 593-5524
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | AP1506 | Florida |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | PA9104805 | Florida |
Profile Details
| NPI number | 1205295821 |
|---|---|
| LBN Legal business name | Coles Healthcare Services Inc |
| DBA Doing business as | Traditional Medicine Center |
| Authorized official | Coles, Donald Physician's Assistant Certified (PA-C) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 11th, 2016 |
| Last updated | Feb 11th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205295821 | NPPES |
| Other | B2150Y | PTAN |
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