North Florida Medical Clinic Inc
LBN: North Florida Medical Clinic Inc
North Florida Medical Clinic Inc is an health care organization with primary practice located at 1361 13Th Ave S Ste 150 , Jacksonville Beach FL 32250-3235. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
North Florida Medical Clinic Inc can be contacted via phone (904) 242-7177, or through Kevin, Holthaus via phone (904) 242-7177.
Contact Information
Primary practice address
1361 13Th Ave S Ste 150
Jacksonville Beach FL 32250-3235
Phone: (904) 242-7177
Fax: (904) 242-7162
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME43785 | Florida |
Profile Details
| NPI number | 1639126907 |
|---|---|
| LBN Legal business name | North Florida Medical Clinic Inc |
| DBA Doing business as | |
| Authorized official | Kevin, Holthaus Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639126907 | NPPES |
| Florida | Other | 94954 | BCBS |
| Florida | Other | 1639126907 | BCBS |
| Florida | Other | DD6503 | BCBS |
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