Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.
LBN: Jacksonville Peak Performance Sports & Physical Therapy, L.L.C.
Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. is an health care organization with primary practice located at 122 Branchwood Shopping Ctr , Jacksonville NC 28546-5800. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. can be contacted via phone (910) 938-7555, or through Laurent, Joseph via phone (616) 356-5011.
Contact Information
Primary practice address
122 Branchwood Shopping Ctr
Jacksonville NC 28546-5800
Phone: (910) 938-7555
Fax: (910) 938-7544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1164482402 |
|---|---|
| LBN Legal business name | Jacksonville Peak Performance Sports & Physical Therapy, L.L.C. |
| DBA Doing business as | |
| Authorized official | Laurent, Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Apr 30th, 2018 - about 6 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 | 1164482402 | NPPES |
| North Carolina | Other | 017PR | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 7211944 | BLUE CROSS BLUE SHIELD |
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