Healthy Senior Medical Group Llc

LBN: Healthy Senior Medical Group Llc
Healthy Senior Medical Group Llc is an health care organization with primary practice located at 515 E Las Olas Blvd Ste 120 , Fort Lauderdale FL 33301-4261. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Healthy Senior Medical Group Llc can be contacted via phone (954) 787-8874, or through Pettas, Christopher J via phone (561) 702-1299.

Contact Information

Primary practice address
515 E Las Olas Blvd Ste 120 Fort Lauderdale FL 33301-4261
Phone: (954) 787-8874
Fax: (954) 787-8875
Website:
Map and Directions
Authorized official contact:
Name: Pettas, Christopher J
Phone: (561) 702-1299

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1194327379
LBN Legal business name Healthy Senior Medical Group Llc
DBA Doing business as
Authorized official Pettas, Christopher J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2020
Last updated Nov 12th, 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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