Community Care Pediatrics Pa
LBN: Community Care Pediatrics Pa
Community Care Pediatrics Pa is an health care organization with primary practice located at 3670 Us 1 South Ste 300 B , Saint Augustine FL 32086. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Community Care Pediatrics Pa can be contacted via phone (904) 479-9501, or through Anderson, Luis via phone (904) 479-9501.
Contact Information
Primary practice address
3670 Us 1 South Ste 300 B
Saint Augustine FL 32086
Phone: (904) 479-9501
Fax: (904) 217-0524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1639437569 |
|---|---|
| LBN Legal business name | Community Care Pediatrics Pa |
| DBA Doing business as | |
| Authorized official | Anderson, Luis Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 28th, 2012 |
| Last updated | Feb 14th, 2020 - about 4 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 | 1639437569 | NPPES |
| Florida | MEDICAID | 269304600 |
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