Jacaranda Family Medicine P A

LBN: Jacaranda Family Medicine P A
Jacaranda Family Medicine P A is an health care organization with primary practice located at 4315 Tamiami Trl S , Venice FL 34293-5117. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jacaranda Family Medicine P A can be contacted via phone (941) 497-4303, or through Sollott, Stephen A. via phone (941) 497-4303.

Contact Information

Primary practice address
4315 Tamiami Trl S Venice FL 34293-5117
Phone: (941) 497-4303
Fax: (941) 497-3107
Website:
Map and Directions
Authorized official contact:
Name: Sollott, Stephen A. Doctor of Osteopathy (DO)
Phone: (941) 497-4303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1174588586
LBN Legal business name Jacaranda Family Medicine P A
DBA Doing business as
Authorized official Sollott, Stephen A. Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2006
Last updated Sep 29th, 2008 - about 16 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 1174588586 NPPES
Florida MEDICAID 254050900
Florida Other DN3383

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