Florida Lions Conklin Ctrs For The Blind

LBN: Florida Lions Conklin Ctrs For The Blind
Florida Lions Conklin Ctrs For The Blind is an health care organization with primary practice located at 405 White St , Daytona Beach FL 32114-2925. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Florida Lions Conklin Ctrs For The Blind can be contacted via phone (386) 258-3441, or through Kelly, Robert T via phone (386) 258-3441.

Contact Information

Primary practice address
405 White St Daytona Beach FL 32114-2925
Phone: (386) 258-3441
Fax: (386) 258-1155
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Robert T CRC
Phone: (386) 258-3441

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1831536515
LBN Legal business name Florida Lions Conklin Ctrs For The Blind
DBA Doing business as
Authorized official Kelly, Robert T CRC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2013
Last updated Jun 4th, 2013 - about 11 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 1831536515 NPPES
Florida MEDICAID 099870202
Florida MEDICAID 673361196

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