Early Intervention Specialists Of Northwest Florida, Llc
LBN: Early Intervention Specialists Of Northwest Florida, Llc
Early Intervention Specialists Of Northwest Florida, Llc is an health care organization with primary practice located at 5170 12Th Ave , Malone FL 32445-3426. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty.
Early Intervention Specialists Of Northwest Florida, Llc can be contacted via phone (850) 209-5880, or through Thompson, Marcia S via phone (850) 209-5880.
Contact Information
Primary practice address
5170 12Th Ave
Malone FL 32445-3426
Phone: (850) 209-5880
Fax: (866) 521-4620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Early Intervention Provider Agency | 252Y00000X | RN3076242 | Florida |
Profile Details
| NPI number | 1063753572 |
|---|---|
| LBN Legal business name | Early Intervention Specialists Of Northwest Florida, Llc |
| DBA Doing business as | |
| Authorized official | Thompson, Marcia S Registered Nurse (RN) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 7th, 2013 |
| Last updated | Mar 7th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063753572 | NPPES |
| Florida | MEDICAID | 810941900 |
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