Medsports Promassage

LBN: Medsports Promassage
Medsports Promassage is an health care organization with primary practice located at 3491 Pall Mall Dr Suite 104, Jacksonville FL 32257-5449. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Medsports Promassage can be contacted via phone (904) 505-0575, or through Hamid, Monique Coleman via phone (904) 505-0575.

Contact Information

Primary practice address
3491 Pall Mall Dr Suite 104 Jacksonville FL 32257-5449
Phone: (904) 505-0575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hamid, Monique Coleman LMT
Phone: (904) 505-0575

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X MA36322 Florida

Profile Details

NPI number 1932475167
LBN Legal business name Medsports Promassage
DBA Doing business as
Authorized official Hamid, Monique Coleman LMT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2012
Last updated Apr 2nd, 2012 - about 12 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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