Lake Palliative Care Providers

LBN: Innovative Primary Care Plc
Lake Palliative Care Providers is an health care organization with primary practice located at 901 N Grove St , Eustis FL 32726-2805. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as the primary health care specialty. Innovative Primary Care Plc can be contacted via phone (352) 508-7040, or through Hansalia, Ajit Vallabhdas via phone (352) 638-6493.

Contact Information

Primary practice address
901 N Grove St Eustis FL 32726-2805
Phone: (352) 508-7040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hansalia, Ajit Vallabhdas Doctor of Medicine (MD)
Phone: (352) 638-6493

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X

Profile Details

NPI number 1346524956
LBN Legal business name Innovative Primary Care Plc
DBA Doing business as Lake Palliative Care Providers
Authorized official Hansalia, Ajit Vallabhdas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2011
Last updated Feb 22nd, 2023 - about 2 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 1346524956 NPPES
Florida Other H524018710510 DRIVER LICENSE

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