Infectious Diseases Of Mid-Florida, Pa
LBN: Infectious Diseases Of Mid-Florida, Pa
Infectious Diseases Of Mid-Florida, Pa is an health care organization with primary practice located at 104 Lacosta Ln Ste 120 , Daytona Beach FL 32114-8160. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is the primary health care specialty.
Infectious Diseases Of Mid-Florida, Pa can be contacted via phone (386) 274-1966, or through Ejie, Ukonu Okoro via phone (386) 274-1966.
Contact Information
Primary practice address
104 Lacosta Ln Ste 120
Daytona Beach FL 32114-8160
Phone: (386) 274-1966
Fax: (386) 274-1964
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME86706 | Florida |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME86706 | Florida |
Profile Details
| NPI number | 1396837308 |
|---|---|
| LBN Legal business name | Infectious Diseases Of Mid-Florida, Pa |
| DBA Doing business as | |
| Authorized official | Ejie, Ukonu Okoro Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Feb 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396837308 | NPPES |
| Florida | MEDICAID | 266737100 | |
| Florida | Other | 78720 |
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