Live Oak Endoscopy Center, Llc
LBN: Live Oak Endoscopy Center, Llc
Live Oak Endoscopy Center, Llc is an health care organization with primary practice located at 275 18Th St Suite 101, Vero Beach FL 32960-5555. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Live Oak Endoscopy Center, Llc can be contacted via phone (772) 299-5005, or through Mccormack, William J via phone (772) 299-5005.
Contact Information
Primary practice address
275 18Th St Suite 101
Vero Beach FL 32960-5555
Phone: (772) 299-5005
Fax: (772) 299-1340
Website:
Authorized official contact:
Name: Mccormack, William J Doctor of Medicine (MD)
Phone: (772) 299-5005
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 1154 | Florida |
Profile Details
| NPI number | 1548254402 |
|---|---|
| LBN Legal business name | Live Oak Endoscopy Center, Llc |
| DBA Doing business as | |
| Authorized official | Mccormack, William J Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Jun 8th, 2009 - about 16 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 | 1548254402 | NPPES |
| Florida | MEDICAID | 075390400 | |
| Florida | Other | 6B6 | |
| Florida | Other | 490005670 | |
| Florida | Other | 4677223 | |
| Florida | Other | A2882678 |
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