Lighthouse Pediatrics Pllc

LBN: Lighthouse Pediatrics Pllc
Lighthouse Pediatrics Pllc is an health care organization with primary practice located at 100 Whetstone Pl Suite 211, St Augustine FL 32086-5774. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Lighthouse Pediatrics Pllc can be contacted via phone (904) 342-7648, or through Luz, Vincent via phone (904) 342-7648.

Contact Information

Primary practice address
100 Whetstone Pl Suite 211 St Augustine FL 32086-5774
Phone: (904) 342-7648
Fax: (904) 342-8567
Website:
Map and Directions
Authorized official contact:
Name: Luz, Vincent Doctor of Medicine (MD)
Phone: (904) 342-7648

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90727 Florida

Profile Details

NPI number 1043630353
LBN Legal business name Lighthouse Pediatrics Pllc
DBA Doing business as
Authorized official Luz, Vincent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2014
Last updated Apr 25th, 2014 - about 10 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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