Pa

LBN: Maitland Avenue Urgent Care Pa
Pa is an health care organization with primary practice located at 411 Maitland Ave Ste 1002 , Altamonte Springs FL 32701-5448. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Maitland Avenue Urgent Care Pa can be contacted via phone (321) 207-0002, or through Johnson, Seth T via phone (321) 207-0002.

Contact Information

Primary practice address
411 Maitland Ave Ste 1002 Altamonte Springs FL 32701-5448
Phone: (321) 207-0002
Fax: (321) 207-2003
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Seth T Doctor of Osteopathy (DO)
Phone: (321) 207-0002

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X OS5330 Florida

Profile Details

NPI number 1285812362
LBN Legal business name Maitland Avenue Urgent Care Pa
DBA Doing business as Pa
Authorized official Johnson, Seth T Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2008
Last updated Feb 13th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1285812362 NPPES
Florida MEDICAID 051599000

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