Eye Surgery Center Of Saint Augustine Inc
LBN: Eye Surgery Center Of Saint Augustine Inc
Eye Surgery Center Of Saint Augustine Inc is an health care organization with primary practice located at 1400 Us Highway 1 S , St Augustine FL 32084-4211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Eye Surgery Center Of Saint Augustine Inc can be contacted via phone (904) 829-2344, or through Hund, Paul W via phone (904) 829-2344.
Contact Information
Primary practice address
1400 Us Highway 1 S
St Augustine FL 32084-4211
Phone: (904) 829-2344
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | F1416 | Florida |
Profile Details
| NPI number | 1750383295 |
|---|---|
| LBN Legal business name | Eye Surgery Center Of Saint Augustine Inc |
| DBA Doing business as | |
| Authorized official | Hund, Paul W Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 15th, 2005 |
| Last updated | Jan 17th, 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 | 1750383295 | NPPES |
| Florida | Other | LICENSE NUMBER | 1195 |
| Florida | MEDICAID | 075723300 | 1195 |
| Florida | Other | AHCA ID NUMBER | 1195 |
| Florida | Other | BLUE CROSS BLUE SHIE | 1195 |
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