Abbey Medical Clinic

LBN: Jan D. Phelps, Pa
Abbey Medical Clinic is an health care organization with primary practice located at 1442 W Busch Blvd , Tampa FL 33612-7602. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as the primary health care specialty. Jan D. Phelps, Pa can be contacted via phone (813) 931-9094, or through Phelps, Jan Denice via phone (813) 931-9094.

Contact Information

Primary practice address
1442 W Busch Blvd Tampa FL 33612-7602
Phone: (813) 931-9094
Fax: (813) 935-1126
Website:
Map and Directions
Authorized official contact:
Name: Phelps, Jan Denice ARNPC
Phone: (813) 931-9094

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1851392 Florida

Profile Details

NPI number 1326237850
LBN Legal business name Jan D. Phelps, Pa
DBA Doing business as Abbey Medical Clinic
Authorized official Phelps, Jan Denice ARNPC
Entity Organization
Organization subpart 1 No
Enumeration date Oct 22nd, 2007
Last updated May 17th, 2011 - about 14 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 1326237850 NPPES
Florida Other Y031B BCBS
Florida Other P62395 BCBS
Florida Other 1851392 BCBS
Florida MEDICAID 305568000 BCBS

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