Kolettis Krew Llc
LBN: Kolettis Krew Llc
Kolettis Krew Llc is an health care organization with primary practice located at 701 N. Hercules Ave Ste B, Clearwater FL 33765-2029. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Kolettis Krew Llc can be contacted via phone (727) 738-8410, or through Kolettis, Elias M via phone (727) 738-8410.
Contact Information
Primary practice address
701 N. Hercules Ave Ste B
Clearwater FL 33765-2029
Phone: (727) 738-8410
Fax: (727) 734-6254
Website:
Authorized official contact:
Name: Kolettis, Elias M Doctor of Osteopathy (DO)
Phone: (727) 738-8410
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | OS0007623 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Florida |
Profile Details
| NPI number | 1457533762 |
|---|---|
| LBN Legal business name | Kolettis Krew Llc |
| DBA Doing business as | |
| Authorized official | Kolettis, Elias M Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 28th, 2007 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457533762 | NPPES |
| Florida | Other | 46556 | BCBS |
| Florida | Other | 2161129 | BCBS |
| Florida | MEDICAID | 255469100 | BCBS |
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