Okaloosa Cardiology P A
LBN: Okaloosa Cardiology P A
Okaloosa Cardiology P A is an health care organization with primary practice located at 129 E Redstone Ave Suite A, Crestview FL 32539-5350. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Cardiovascular Disease is the primary health care specialty.
Okaloosa Cardiology P A can be contacted via phone (850) 682-7212, or through Gibson, Donna M via phone (850) 682-7212.
Contact Information
Primary practice address
129 E Redstone Ave Suite A
Crestview FL 32539-5350
Phone: (850) 682-7212
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X |
Profile Details
NPI number | 1144270240 |
---|---|
LBN Legal business name | Okaloosa Cardiology P A |
DBA Doing business as | |
Authorized official | Gibson, Donna M |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Aug 25th, 2011 - about 13 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 | 1144270240 | NPPES |
Florida | MEDICAID | 258928100 |
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