Florida Sports Medicine Institute Inc
LBN: Florida Sports Medicine Institute Inc
Florida Sports Medicine Institute Inc is an health care organization with primary practice located at 150 Southpark Blvd Suite 102, St Augustine FL 32086-5190. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
Florida Sports Medicine Institute Inc can be contacted via phone (904) 823-3764, or through Haseltine, Karen via phone (904) 823-3764.
Contact Information
Primary practice address
150 Southpark Blvd Suite 102
St Augustine FL 32086-5190
Phone: (904) 823-3764
Fax: (904) 429-0318
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | OS7217 | Florida |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | ME93573 | Florida |
Profile Details
| NPI number | 1346341476 |
|---|---|
| LBN Legal business name | Florida Sports Medicine Institute Inc |
| DBA Doing business as | |
| Authorized official | Haseltine, Karen |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jan 5th, 2017 - 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 | 1346341476 | NPPES |
| Florida | Other | 00728 | BLUE CROSS GROUP |
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