Impact 13 Medical, Pllc

LBN: Impact 13 Medical, Pllc
Impact 13 Medical, Pllc is an health care organization with primary practice located at 10752 Deerwood Park Blvd South Waterview Ii Suite 100, Jacksonville FL 32256. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Impact 13 Medical, Pllc can be contacted via phone (904) 755-1017, or through Germain, Wil E via phone (516) 412-1608.

Contact Information

Primary practice address
10752 Deerwood Park Blvd South Waterview Ii Suite 100 Jacksonville FL 32256
Phone: (904) 755-1017
Fax: (646) 774-0386
Website:
Map and Directions
Authorized official contact:
Name: Germain, Wil E Doctor of Medicine (MD)
Phone: (516) 412-1608

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Neurology 2084N0400X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1548805617
LBN Legal business name Impact 13 Medical, Pllc
DBA Doing business as
Authorized official Germain, Wil E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2019
Last updated Dec 18th, 2019 - 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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