Gulf South Pediatric Cardiology, Llc

LBN: Gulf South Pediatric Cardiology, Llc
Gulf South Pediatric Cardiology, Llc is an health care organization with primary practice located at 4500 13Th St 611 Broad Avenue, Gulfport MS 39501-2515. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Gulf South Pediatric Cardiology, Llc can be contacted via phone (228) 868-7046, or through Goodwin, Lisa Ann via phone (228) 868-7046.

Contact Information

Primary practice address
4500 13Th St 611 Broad Avenue Gulfport MS 39501-2515
Phone: (228) 868-7046
Fax: (228) 575-2120
Website:
Map and Directions
Authorized official contact:
Name: Goodwin, Lisa Ann
Phone: (228) 868-7046

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1073653903
LBN Legal business name Gulf South Pediatric Cardiology, Llc
DBA Doing business as
Authorized official Goodwin, Lisa Ann
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Aug 22nd, 2020 - about 5 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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