Idicula Medical Associates Md Pa

LBN: Idicula Medical Associates Md Pa
Idicula Medical Associates Md Pa is an health care organization with primary practice located at 10065 Cortez Blvd , Brooksville FL 34613. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Idicula Medical Associates Md Pa can be contacted via phone (352) 596-4660, or through Idicula, Joseph via phone (352) 596-4660.

Contact Information

Primary practice address
10065 Cortez Blvd Brooksville FL 34613
Fax: (352) 596-4674
Website:
Authorized official contact:
Name: Idicula, Joseph

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1982781688
LBN Legal business name Idicula Medical Associates Md Pa
DBA Doing business as
Authorized official Idicula, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2006
Last updated Oct 26th, 2009 - about 15 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 1982781688 NPPES
Florida Other CH6323 RAILROAD MEDICARE

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