Cornerstone Medical Care Of Brandon Llc

LBN: Cornerstone Medical Care Of Brandon Llc
Cornerstone Medical Care Of Brandon Llc is an health care organization with primary practice located at 500 Vonderburg Dr E Tower Ste 102, Brandon FL 33511-5964. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Cornerstone Medical Care Of Brandon Llc can be contacted via phone (813) 681-5658, or through Enriquez, Julio A via phone (813) 681-5658.

Contact Information

Primary practice address
500 Vonderburg Dr E Tower Ste 102 Brandon FL 33511-5964
Phone: (813) 681-5658
Fax: (813) 681-5250
Website:
Map and Directions
Authorized official contact:
Name: Enriquez, Julio A Doctor of Medicine (MD)
Phone: (813) 681-5658

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1124038989
LBN Legal business name Cornerstone Medical Care Of Brandon Llc
DBA Doing business as
Authorized official Enriquez, Julio A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Jun 17th, 2021 - about 3 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 1124038989 NPPES
Florida MEDICAID 267292800

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