Country Club Pt Pa

LBN: Country Club Pt Pa
Country Club Pt Pa is an health care organization with primary practice located at 1331 Whispering Ln , Venice FL 34285-6449. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as the primary health care specialty. Country Club Pt Pa can be contacted via phone (941) 451-6689, or through Corn, Lisa via phone (941) 451-6689.

Contact Information

Primary practice address
1331 Whispering Ln Venice FL 34285-6449
Phone: (941) 451-6689
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Corn, Lisa
Phone: (941) 451-6689

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X PT21464 Florida

Profile Details

NPI number 1578928420
LBN Legal business name Country Club Pt Pa
DBA Doing business as
Authorized official Corn, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2015
Last updated Dec 19th, 2015 - 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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