Deep Blue Retina, Pllc

LBN: Deep Blue Retina, Pllc
Deep Blue Retina, Pllc is an health care organization with primary practice located at 7900 Airways Blvd Bldg A1 , Southaven MS 38671-4116. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Retina Specialist, which is considered as the primary health care specialty. Deep Blue Retina, Pllc can be contacted via phone (901) 522-6520, or through Calzada, Jorge I via phone (901) 522-6520.

Contact Information

Primary practice address
7900 Airways Blvd Bldg A1 Southaven MS 38671-4116
Fax: (901) 522-6521
Website:
Authorized official contact:
Name: Calzada, Jorge I Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1427511880
LBN Legal business name Deep Blue Retina, Pllc
DBA Doing business as
Authorized official Calzada, Jorge I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2019
Last updated Sep 7th, 2023 - about 2 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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