Pediatric Primary Care Foundation, Inc.

LBN: Pediatric Primary Care Foundation, Inc.
Pediatric Primary Care Foundation, Inc. is an health care organization with primary practice located at 1539 Ne 22Nd Ave Suite A, Ocala FL 34470-4761. The organization recently has 3 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Public Health or Welfare, Agencies / Voluntary or Charitable. Agencies / Case Management is the primary health care specialty. Pediatric Primary Care Foundation, Inc. can be contacted via phone (352) 369-7800, or through Baxla, Jeffery E via phone (352) 369-7835.

Contact Information

Primary practice address
1539 Ne 22Nd Ave Suite A Ocala FL 34470-4761
Phone: (352) 369-7800
Fax: (352) 369-2141
Website:
Map and Directions
Authorized official contact:
Name: Baxla, Jeffery E
Phone: (352) 369-7835

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Public Health or Welfare 251K00000X
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1770553018
LBN Legal business name Pediatric Primary Care Foundation, Inc.
DBA Doing business as
Authorized official Baxla, Jeffery E
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 3rd, 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 1770553018 NPPES
Florida MEDICAID 752161800
Florida MEDICAID 752161801

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