Fleming Island 2020 Pa
LBN: Fleming Island 2020 Pa
Fleming Island 2020 Pa is an health care organization with primary practice located at 1505 County Road 220 , Orange Park FL 32003-7926. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Fleming Island 2020 Pa can be contacted via phone (904) 215-3005, or through Kapadia, Sharokh via phone (904) 287-9137.
Contact Information
Primary practice address
1505 County Road 220
Orange Park FL 32003-7926
Phone: (904) 215-3005
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3241 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3594 | Florida |
Profile Details
| NPI number | 1881852291 |
|---|---|
| LBN Legal business name | Fleming Island 2020 Pa |
| DBA Doing business as | |
| Authorized official | Kapadia, Sharokh Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2008 |
| Last updated | Feb 3rd, 2010 - about 14 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 | 1881852291 | NPPES |
| Florida | MEDICAID | 620800200 | |
| Florida | MEDICAID | 620801100 |
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