Orange Grove Medical Specialties, P.A.

LBN: Orange Grove Medical Specialties, P.A.
Orange Grove Medical Specialties, P.A. is an health care organization with primary practice located at 15286 Community Rd , Gulfport MS 39503-3509. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Orange Grove Medical Specialties, P.A. can be contacted via phone (228) 832-5151, or through Leatherwood, Lisa via phone (228) 832-5151.

Contact Information

Primary practice address
15286 Community Rd Gulfport MS 39503-3509
Phone: (228) 832-5151
Fax: (228) 832-6320
Website:
Map and Directions
Authorized official contact:
Name: Leatherwood, Lisa
Phone: (228) 832-5151

Health care specialties

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

Profile Details

NPI number 1295928893
LBN Legal business name Orange Grove Medical Specialties, P.A.
DBA Doing business as
Authorized official Leatherwood, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2007
Last updated May 15th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295928893 NPPES
Mississippi Other CL2948 RAILROAD MEDICARE

Popular Providers