Orthopaedic Clinic Of Daytona Beach Pa

LBN: Orthopaedic Clinic Of Daytona Beach Pa
Orthopaedic Clinic Of Daytona Beach Pa is an health care organization with primary practice located at 1075 Mason Ave , Daytona Beach FL 32117-4611. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Orthopaedic Clinic Of Daytona Beach Pa can be contacted via phone (386) 255-4596, or through Gillespy, Albert W. via phone (386) 255-4596.

Contact Information

Primary practice address
1075 Mason Ave Daytona Beach FL 32117-4611
Phone: (386) 255-4596
Fax: (386) 258-3561
Website:
Map and Directions
Authorized official contact:
Name: Gillespy, Albert W. Doctor of Medicine (MD)
Phone: (386) 255-4596

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Florida

Profile Details

NPI number 1558340240
LBN Legal business name Orthopaedic Clinic Of Daytona Beach Pa
DBA Doing business as
Authorized official Gillespy, Albert W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2006
Last updated Apr 26th, 2024 - about 5 months 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 1558340240 NPPES
Florida MEDICAID 036096104
Florida MEDICAID 105512600
Florida MEDICAID 104741300
Florida MEDICAID 036096103
Florida MEDICAID 106515900
Florida MEDICAID 036096100
Florida MEDICAID 105512000
Florida MEDICAID 036096102
Florida MEDICAID 036096101

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