Family Health Center At Port St John Llc

LBN: Family Health Center At Port St John Llc
Family Health Center At Port St John Llc is an health care organization with primary practice located at 3740 Curtis Blvd Suite 108, Cocoa FL 32927-3962. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Health Center At Port St John Llc can be contacted via phone (321) 633-5500, or through Black, Janis G via phone (321) 633-5500.

Contact Information

Primary practice address
3740 Curtis Blvd Suite 108 Cocoa FL 32927-3962
Phone: (321) 633-5500
Fax: (321) 633-5566
Website:
Map and Directions
Authorized official contact:
Name: Black, Janis G Doctor of Osteopathy (DO)
Phone: (321) 633-5500

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS9694 Florida

Profile Details

NPI number 1851575377
LBN Legal business name Family Health Center At Port St John Llc
DBA Doing business as
Authorized official Black, Janis G Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2007
Last updated Dec 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851575377 NPPES
Florida MEDICAID 2753011400

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