Lake Regional Urgent Care

LBN: Medical Ventures Of America
Lake Regional Urgent Care is an health care organization with primary practice located at 8404 Us Highway 441 , Leesburg FL 34788-4016. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Medical Ventures Of America can be contacted via phone (352) 315-8881, or through Dominick, Raymond via phone (352) 315-8881.

Contact Information

Primary practice address
8404 Us Highway 441 Leesburg FL 34788-4016
Phone: (352) 315-8881
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dominick, Raymond Doctor of Medicine (MD)
Phone: (352) 315-8881

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X

Profile Details

NPI number 1073576146
LBN Legal business name Medical Ventures Of America
DBA Doing business as Lake Regional Urgent Care
Authorized official Dominick, Raymond Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2006
Last updated May 9th, 2008 - about 17 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 1073576146 NPPES
Florida MEDICAID 266435600
Florida Other 10D1004910
Florida Other 34537
Florida Other B902B

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