First Coast Ltc, Inc
LBN: First Coast Ltc, Inc
First Coast Ltc, Inc is an health care organization with primary practice located at 25 State Road 13 Att: Clinic, Saint Johns FL 32259-2842. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty.
First Coast Ltc, Inc can be contacted via phone (904) 309-6504, or through Samara, David via phone (904) 309-6504.
Contact Information
Primary practice address
25 State Road 13 Att: Clinic
Saint Johns FL 32259-2842
Phone: (904) 309-6504
Fax: (904) 503-3577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ME31637 | Florida |
Profile Details
NPI number | 1538418868 |
---|---|
LBN Legal business name | First Coast Ltc, Inc |
DBA Doing business as | |
Authorized official | Samara, David Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Aug 31st, 2012 |
Last updated | Mar 7th, 2016 - about 8 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 | 1538418868 | NPPES |
Florida | MEDICAID | 371340700 | |
Florida | Other | CG-1814 |
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