Life Management Center Of Northwest Florida Inc
LBN: Life Management Center Of Northwest Florida Inc
Life Management Center Of Northwest Florida Inc is an health care organization with primary practice located at 525 East 15Th Street , Panama City FL 32405-0000. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Life Management Center Of Northwest Florida Inc can be contacted via phone (850) 522-4485, or through Ailes, Edwin via phone (850) 522-4485.
Contact Information
Primary practice address
525 East 15Th Street
Panama City FL 32405-0000
Phone: (850) 522-4485
Fax: (850) 914-6281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1508854571 |
|---|---|
| LBN Legal business name | Life Management Center Of Northwest Florida Inc |
| DBA Doing business as | |
| Authorized official | Ailes, Edwin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 12th, 2005 |
| Last updated | Mar 29th, 2024 - about 6 months 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 | 1508854571 | NPPES |
| Florida | MEDICAID | 060296500 | |
| Florida | Other | 99260 |
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