Gaps

LBN: Golden Age Physician Specialists Llc
Gaps is an health care organization with primary practice located at 6405 W Gulf To Lake Hwy , Crystal River FL 34429-9354. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Golden Age Physician Specialists Llc can be contacted via phone (352) 684-8736, or through St. Martin, Dacelin via phone (352) 684-8736.

Contact Information

Primary practice address
6405 W Gulf To Lake Hwy Crystal River FL 34429-9354
Phone: (352) 684-8736
Fax:
Website:
Map and Directions
Authorized official contact:
Name: St. Martin, Dacelin Doctor of Medicine (MD)
Phone: (352) 684-8736

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1104520717
LBN Legal business name Golden Age Physician Specialists Llc
DBA Doing business as Gaps
Authorized official St. Martin, Dacelin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 28th, 2023
Last updated May 18th, 2023 - about last year

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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