Individual Provider

LBN: Individual Provider
Individual Provider is an health care organization with primary practice located at 650 Palermo Vista Ct , Longwood FL 32750-3419. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Individual Provider can be contacted via phone (317) 697-8932, or through Garry, Christine Marie via phone (317) 697-8932.

Contact Information

Primary practice address
650 Palermo Vista Ct Longwood FL 32750-3419
Phone: (317) 697-8932
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Garry, Christine Marie
Phone: (317) 697-8932

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X ISW10093 Florida

Profile Details

NPI number 1033587795
LBN Legal business name Individual Provider
DBA Doing business as
Authorized official Garry, Christine Marie
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2015
Last updated Sep 10th, 2015 - about 10 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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