Horizon St. Augustine Llc

LBN: Medfund Llc
Horizon St. Augustine Llc is an health care organization with primary practice located at 200 Southpark Blvd Ste 210, St Augustine FL 32086-3101. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Medfund Llc can be contacted via phone (904) 819-0920, or through Kern, Martin J via phone (941) 925-3490.

Contact Information

Primary practice address
200 Southpark Blvd Ste 210 St Augustine FL 32086-3101
Phone: (904) 819-0920
Fax: (904) 819-0299
Website:
Map and Directions
Authorized official contact:
Name: Kern, Martin J
Phone: (941) 925-3490

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X HCC5205 Florida

Profile Details

NPI number 1841293982
LBN Legal business name Medfund Llc
DBA Doing business as Horizon St. Augustine Llc
Authorized official Kern, Martin J
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Aug 22nd, 2020 - about 4 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 1841293982 NPPES
Other 2302684 AETNA HMO #
Other V2456 AETNA HMO #
Other 105715-15 AETNA HMO #
Other 7008104 AETNA HMO #

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