Pedim Outreach And Specialty Clinic Llc

LBN: Pedim Outreach And Specialty Clinic Llc
Pedim Outreach And Specialty Clinic Llc is an health care organization with primary practice located at 2805 W Flare Ln , Lecanto FL 34461. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Pedim Outreach And Specialty Clinic Llc can be contacted via phone (352) 527-6888, or through St Martin, Dacelin via phone (352) 527-6888.

Contact Information

Primary practice address
2805 W Flare Ln Lecanto FL 34461
Phone: (352) 527-6888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: St Martin, Dacelin Doctor of Medicine (MD)
Phone: (352) 527-6888

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1558128819
LBN Legal business name Pedim Outreach And Specialty Clinic Llc
DBA Doing business as
Authorized official St Martin, Dacelin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2024
Last updated Mar 4th, 2024 - about 8 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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