33Rd Street Family Medical Center

LBN: Pelican Beach Inc
33Rd Street Family Medical Center is an health care organization with primary practice located at 4382 Lb Mcleod Rd , Orlando FL 32811. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Pelican Beach Inc can be contacted via phone (407) 648-0076, or through Vazquez, Vilmary via phone (407) 648-0076.

Contact Information

Primary practice address
4382 Lb Mcleod Rd Orlando FL 32811
Phone: (407) 648-0076
Fax: (407) 648-3666
Website:
Map and Directions
Authorized official contact:
Name: Vazquez, Vilmary NCMA
Phone: (407) 648-0076

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1871503797
LBN Legal business name Pelican Beach Inc
DBA Doing business as 33Rd Street Family Medical Center
Authorized official Vazquez, Vilmary NCMA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2006
Last updated Apr 15th, 2014 - about 10 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 1871503797 NPPES
Other DB888A PTAN

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