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
Fax: (386) 274-1964
Website:
Authorized official contact:
Name: Ejie, Ukonu Okoro Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396837308 NPPES
Florida MEDICAID 266737100
Florida Other 78720

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