Individualized Medicine, Llc

LBN: Individualized Medicine, Llc
Individualized Medicine, Llc is an health care organization with primary practice located at 6100 Saint Johns Ave Suite 4(D), Palatka FL 32177-3844. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Individualized Medicine, Llc can be contacted via phone (386) 329-3939, or through Malykh, Larisa via phone (386) 329-3939.

Contact Information

Primary practice address
6100 Saint Johns Ave Suite 4(D) Palatka FL 32177-3844
Phone: (386) 329-3939
Fax: (386) 329-8990
Website:
Map and Directions
Authorized official contact:
Name: Malykh, Larisa Doctor of Medicine (MD)
Phone: (386) 329-3939

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1962701722
LBN Legal business name Individualized Medicine, Llc
DBA Doing business as
Authorized official Malykh, Larisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2011
Last updated Mar 26th, 2012 - about 12 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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