Pecks Family Practice Plc
LBN: Pecks Family Practice Plc
Pecks Family Practice Plc is an health care organization with primary practice located at 1688 W Granada Blvd Ste 2A, Ormond Beach FL 32174-1851. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Pecks Family Practice Plc can be contacted via phone (386) 677-2018, or through Peck, Benjamin Jay via phone (386) 677-2018.
Contact Information
Primary practice address
1688 W Granada Blvd Ste 2A
Ormond Beach FL 32174-1851
Phone: (386) 677-2018
Fax: (386) 676-0737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME71672 | Florida |
Profile Details
| NPI number | 1164528915 |
|---|---|
| LBN Legal business name | Pecks Family Practice Plc |
| DBA Doing business as | |
| Authorized official | Peck, Benjamin Jay Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Aug 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164528915 | NPPES |
| Florida | Other | DA1617 | RAILROAD MEDICARE |
| Florida | MEDICAID | 271555400 | RAILROAD MEDICARE |
| Florida | Other | 34648 | RAILROAD MEDICARE |
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