Diabetes Clinic Of The Coast, Pllc

LBN: Diabetes Clinic Of The Coast, Pllc
Diabetes Clinic Of The Coast, Pllc is an health care organization with primary practice located at 1110 Broad Ave Suite 600, Gulfport MS 39501-8907. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Diabetes Clinic Of The Coast, Pllc can be contacted via phone (228) 220-1588, or through Roberts, Melonie R via phone (228) 697-8244.

Contact Information

Primary practice address
1110 Broad Ave Suite 600 Gulfport MS 39501-8907
Phone: (228) 220-1588
Fax: (228) 220-1581
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Melonie R FNP-BC
Phone: (228) 697-8244

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R874839 Mississippi

Profile Details

NPI number 1538532221
LBN Legal business name Diabetes Clinic Of The Coast, Pllc
DBA Doing business as
Authorized official Roberts, Melonie R FNP-BC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 4th, 2015
Last updated Nov 4th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538532221 NPPES
Mississippi Other 1285902841 NPI

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