Family Medical Group Pa

LBN: Family Medical Group Pa
Family Medical Group Pa is an health care organization with primary practice located at 113 Health Way , Lake Placid FL 33852-8123. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Family Medical Group Pa can be contacted via phone (863) 465-7010, or through Stayton, Joanne E via phone (863) 465-7010.

Contact Information

Primary practice address
113 Health Way Lake Placid FL 33852-8123
Phone: (863) 465-7010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stayton, Joanne E
Phone: (863) 465-7010

Health care specialties

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

Profile Details

NPI number 1215099007
LBN Legal business name Family Medical Group Pa
DBA Doing business as
Authorized official Stayton, Joanne E
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 15th, 2006
Last updated May 24th, 2021 - about 3 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 1215099007 NPPES
Florida MEDICAID 660046800
Florida MEDICAID 660129400
Florida Other 45269
Florida MEDICAID 660219300

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