Liquid Logic Rx

LBN: Liquid Logic Rx
Liquid Logic Rx is an health care organization with primary practice located at 5105 Bowden Rd , Jacksonville FL 32216-5907. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty. Liquid Logic Rx can be contacted via phone (904) 374-0294, or through Guzman, Antonietta via phone (904) 374-0260.

Contact Information

Primary practice address
5105 Bowden Rd Jacksonville FL 32216-5907
Phone: (904) 374-0294
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guzman, Antonietta
Phone: (904) 374-0260

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Point of Service 305S00000X 207L00000X Florida

Profile Details

NPI number 1376095729
LBN Legal business name Liquid Logic Rx
DBA Doing business as
Authorized official Guzman, Antonietta
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2016
Last updated Nov 2nd, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376095729 NPPES
Florida MEDICAID 258429800

Popular Providers