Paladin Family Practice Pa

LBN: Paladin Family Practice Pa
Paladin Family Practice Pa is an health care organization with primary practice located at 330 S Line Ave , Inverness FL 34452-4606. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Paladin Family Practice Pa can be contacted via phone (352) 726-4499, or through Slaby, Brian via phone (352) 726-4499.

Contact Information

Primary practice address
330 S Line Ave Inverness FL 34452-4606
Phone: (352) 726-4499
Fax: (352) 726-2808
Website:
Map and Directions
Authorized official contact:
Name: Slaby, Brian Doctor of Medicine (MD)
Phone: (352) 726-4499

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X ME-0074114 Florida

Profile Details

NPI number 1922282953
LBN Legal business name Paladin Family Practice Pa
DBA Doing business as
Authorized official Slaby, Brian Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2007
Last updated Jan 5th, 2010 - about 14 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 1922282953 NPPES
Florida MEDICAID 274066400

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