Multi-Specialty & Primary Care Practice Group Of Lake Wales Llc

LBN: Multi-Specialty & Primary Care Practice Group Of Lake Wales Llc
Multi-Specialty & Primary Care Practice Group Of Lake Wales Llc is an health care organization with primary practice located at 1255 State Road 60 East , Lake Wales FL 33853. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Multi-Specialty & Primary Care Practice Group Of Lake Wales Llc can be contacted via phone (863) 232-5111, or through Chandrasekhar, Kollagunta S via phone (863) 294-5505.

Contact Information

Primary practice address
1255 State Road 60 East Lake Wales FL 33853
Phone: (863) 232-5111
Fax: (866) 922-0875
Website:
Map and Directions
Authorized official contact:
Name: Chandrasekhar, Kollagunta S Doctor of Medicine (MD)
Phone: (863) 294-5505

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1467605634
LBN Legal business name Multi-Specialty & Primary Care Practice Group Of Lake Wales Llc
DBA Doing business as
Authorized official Chandrasekhar, Kollagunta S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2008
Last updated Apr 8th, 2009 - 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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