Basil D Fossum Md

LBN: Genesiscare Usa Of Florida Llc
Basil D Fossum Md is an health care organization with primary practice located at 914 Mar Walt Dr Suite B, Fort Walton Beach FL 32547-6706. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Genesiscare Usa Of Florida Llc can be contacted via phone (850) 226-6572, or through Collins, Dan via phone (239) 931-7275.

Contact Information

Primary practice address
914 Mar Walt Dr Suite B Fort Walton Beach FL 32547-6706
Phone: (850) 226-6572
Fax: (850) 862-8564
Website:
Map and Directions
Authorized official contact:
Name: Collins, Dan
Phone: (239) 931-7275

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1427339399
LBN Legal business name Genesiscare Usa Of Florida Llc
DBA Doing business as Basil D Fossum Md
Authorized official Collins, Dan
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 6th, 2011
Last updated Aug 24th, 2020 - about 4 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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