Perdido Bay Family Care, Llc

LBN: Perdido Bay Family Care, Llc
Perdido Bay Family Care, Llc is an health care organization with primary practice located at 10 Doug Ford Drive , Pensacola FL 32507-4307. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Perdido Bay Family Care, Llc can be contacted via phone (850) 492-2010, or through Lee, Brian Mitchell via phone (850) 492-2010.

Contact Information

Primary practice address
10 Doug Ford Drive Pensacola FL 32507-4307
Fax: (850) 492-2012
Website:
Authorized official contact:
Name: Lee, Brian Mitchell Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1174709489
LBN Legal business name Perdido Bay Family Care, Llc
DBA Doing business as
Authorized official Lee, Brian Mitchell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 2008 - about 17 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 1174709489 NPPES
Florida Other K5362 MEDICARE GROUP NUMBER

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