Lakeshore Pediatrics Annex
LBN: Florida Community Health Centers Inc
Lakeshore Pediatrics Annex is an health care organization with primary practice located at 4450 S Tiffany Dr , West Palm Beach FL 33407-3241. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Florida Community Health Centers Inc can be contacted via phone (561) 844-9443, or through Gervasi, Michael F via phone (561) 844-9443.
Contact Information
Primary practice address
4450 S Tiffany Dr
West Palm Beach FL 33407-3241
Phone: (561) 844-9443
Fax: (561) 844-1013
Website:
Authorized official contact:
Name: Gervasi, Michael F Doctor of Osteopathy (DO)
Phone: (561) 844-9443
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1043260490 |
|---|---|
| LBN Legal business name | Florida Community Health Centers Inc |
| DBA Doing business as | Lakeshore Pediatrics Annex |
| Authorized official | Gervasi, Michael F Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Sep 6th, 2011 - about 13 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 | 1043260490 | NPPES |
| Florida | MEDICAID | 029574414 | |
| Florida | MEDICAID | 029574415 |
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