Moultrie Inpatient Physicians

LBN: Moultrie Inpatient Physicians
Moultrie Inpatient Physicians is an health care organization with primary practice located at 60 Memorial Medical Pkwy , Palm Coast FL 32164-5980. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Moultrie Inpatient Physicians can be contacted via phone (386) 586-2003, or through Byrne, Gregory via phone (214) 712-2403.

Contact Information

Primary practice address
60 Memorial Medical Pkwy Palm Coast FL 32164-5980
Phone: (386) 586-2003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Byrne, Gregory Doctor of Medicine (MD)
Phone: (214) 712-2403

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1861404865
LBN Legal business name Moultrie Inpatient Physicians
DBA Doing business as
Authorized official Byrne, Gregory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Apr 20th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861404865 NPPES
Florida Other 74513 BLUE SHIELD

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