Fm Medical Clinic Llc

LBN: Fm Medical Clinic Llc
Fm Medical Clinic Llc is an health care organization with primary practice located at 165 Southpark Blvd , St Augustine FL 32086-4101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Fm Medical Clinic Llc can be contacted via phone (904) 823-8833, or through Michaels, Scott R via phone (904) 823-8833.

Contact Information

Primary practice address
165 Southpark Blvd St Augustine FL 32086-4101
Phone: (904) 823-8833
Fax: (904) 823-9394
Website:
Map and Directions
Authorized official contact:
Name: Michaels, Scott R Doctor of Medicine (MD)
Phone: (904) 823-8833

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1891298790
LBN Legal business name Fm Medical Clinic Llc
DBA Doing business as
Authorized official Michaels, Scott R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2018
Last updated Mar 17th, 2018 - about 6 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 1891298790 NPPES
Florida Other M242796603210 DRIVERS LICENSES

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