Dynamic Primary Healthcare Clinic

LBN: Dynamic Primary Healthcare Clinic
Dynamic Primary Healthcare Clinic is an health care organization with primary practice located at 163 Sw Stonegate Ter Ste 109 , Lake City FL 32024-3459. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dynamic Primary Healthcare Clinic can be contacted via phone (330) 323-8976, or through Distefano, John via phone (352) 317-3214.

Contact Information

Primary practice address
163 Sw Stonegate Ter Ste 109 Lake City FL 32024-3459
Phone: (330) 323-8976
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Distefano, John
Phone: (352) 317-3214

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1710633144
LBN Legal business name Dynamic Primary Healthcare Clinic
DBA Doing business as
Authorized official Distefano, John
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2022
Last updated Mar 18th, 2024 - about 8 months 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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