Orange Park Neurosurgery P.L.

LBN: Orange Park Neurosurgery P.L.
Orange Park Neurosurgery P.L. is an health care organization with primary practice located at 2021 Kingsley Ave Suite 101, Orange Park FL 32073-5174. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Orange Park Neurosurgery P.L. can be contacted via phone (904) 276-3376, or through Spatola, Mark A via phone (904) 276-3376.

Contact Information

Primary practice address
2021 Kingsley Ave Suite 101 Orange Park FL 32073-5174
Fax: (904) 276-5308
Website:
Authorized official contact:
Name: Spatola, Mark A Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X

Profile Details

NPI number 1861406720
LBN Legal business name Orange Park Neurosurgery P.L.
DBA Doing business as
Authorized official Spatola, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 14th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861406720 NPPES
Florida Other K7538 MEDICARE PTAN

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