Florida Mentor

LBN: Florida Mentor
Florida Mentor is an health care organization with primary practice located at 1725 5Th Street , Daytona Beach FL 32117-5107. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Florida Mentor can be contacted via phone (386) 274-4172, or through Monagan, Edward Demetrice via phone (386) 274-4172.

Contact Information

Primary practice address
1725 5Th Street Daytona Beach FL 32117-5107
Phone: (386) 274-4172
Fax: (386) 274-5568
Website:
Map and Directions
Authorized official contact:
Name: Monagan, Edward Demetrice
Phone: (386) 274-4172

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 03125760 Florida

Profile Details

NPI number 1134285141
LBN Legal business name Florida Mentor
DBA Doing business as
Authorized official Monagan, Edward Demetrice
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 5 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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