Mountcastle Vein Center Of St Petersburg

LBN: Mountcastle Vein Center Of St Petersburg
Mountcastle Vein Center Of St Petersburg is an health care organization with primary practice located at 5901 Sun Blvd Suite 113A, St Petersburg FL 33715-1166. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Mountcastle Vein Center Of St Petersburg can be contacted via phone (727) 865-6941, or through Mountcastle, Daniel J via phone (727) 865-6941.

Contact Information

Primary practice address
5901 Sun Blvd Suite 113A St Petersburg FL 33715-1166
Phone: (727) 865-6941
Fax: (727) 864-0929
Website:
Map and Directions
Authorized official contact:
Name: Mountcastle, Daniel J Doctor of Medicine (MD)
Phone: (727) 865-6941

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME36289 Florida

Profile Details

NPI number 1619022951
LBN Legal business name Mountcastle Vein Center Of St Petersburg
DBA Doing business as
Authorized official Mountcastle, Daniel J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 20th, 2014 - about 10 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 1619022951 NPPES
Florida Other 3027OT MEDICARE
Florida MEDICAID 039342800 MEDICARE
Florida Other ME36289 MEDICARE

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