Kick Some Mass Llc

LBN: Kick Some Mass Llc
Kick Some Mass Llc is an health care organization with primary practice located at 316 Parkridge Ave , Orange Park FL 32065-7507. The organization recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Managed Care Organizations / Preferred Provider Organization. Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine is the primary health care specialty. Kick Some Mass Llc can be contacted via phone (904) 589-0750, or through Ruterbusch, Jeffrey Allyn via phone (904) 589-0750.

Contact Information

Primary practice address
316 Parkridge Ave Orange Park FL 32065-7507
Phone: (904) 589-0750
Fax: (904) 375-8821
Website:
Map and Directions
Authorized official contact:
Name: Ruterbusch, Jeffrey Allyn Doctor of Osteopathy (DO)
Phone: (904) 589-0750

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X OS6403 Florida
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X OS6403 Florida
Managed Care Organizations / Preferred Provider Organization 305R00000X OS6403 Florida

Profile Details

NPI number 1790149516
LBN Legal business name Kick Some Mass Llc
DBA Doing business as
Authorized official Ruterbusch, Jeffrey Allyn Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2016
Last updated Oct 10th, 2016 - about 8 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 1790149516 NPPES
Florida Other IP327A PTAN

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