Guadalupe Medical Center Inc

LBN: Guadalupe Medical Center Inc
Guadalupe Medical Center Inc is an health care organization with primary practice located at 4469 S Congress Ave Ste 106 , Lake Worth FL 33461-4726. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Guadalupe Medical Center Inc can be contacted via phone (561) 642-0768, or through Rosazza, Olga Virginia via phone (561) 642-0768.

Contact Information

Primary practice address
4469 S Congress Ave Ste 106 Lake Worth FL 33461-4726
Fax: (561) 642-0769
Website:
Authorized official contact:
Name: Rosazza, Olga Virginia

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1861504342
LBN Legal business name Guadalupe Medical Center Inc
DBA Doing business as
Authorized official Rosazza, Olga Virginia
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 5th, 2012 - about 13 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 1861504342 NPPES
Florida MEDICAID 269435200

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