Freedom Llc

LBN: Freedom Llc
Freedom Llc is an health care organization with primary practice located at 4131 University Blvd S Ste 10 , Jacksonville FL 32216-4346. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Freedom Llc can be contacted via phone (508) 769-2707, or through Bergus, Boris via phone (508) 769-2707.

Contact Information

Primary practice address
4131 University Blvd S Ste 10 Jacksonville FL 32216-4346
Phone: (508) 769-2707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bergus, Boris Doctor of Medicine (MD)
Phone: (508) 769-2707

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1922883925
LBN Legal business name Freedom Llc
DBA Doing business as
Authorized official Bergus, Boris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2023
Last updated Aug 28th, 2023 - about 2 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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