Phoenix Clinic, Inc.

LBN: Phoenix Clinic, Inc.
Phoenix Clinic, Inc. is an health care organization with primary practice located at 13730 Nw 6Th Ct , North Miami FL 33168-2931. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Phoenix Clinic, Inc. can be contacted via phone (305) 891-3439, or through Graham, Bonnie via phone (305) 891-3439.

Contact Information

Primary practice address
13730 Nw 6Th Ct North Miami FL 33168-2931
Phone: (305) 891-3439
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Graham, Bonnie
Phone: (305) 891-3439

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 1113AD081801 Florida

Profile Details

NPI number 1043304140
LBN Legal business name Phoenix Clinic, Inc.
DBA Doing business as
Authorized official Graham, Bonnie
Entity Organization
Organization subpart 1 No
Enumeration date Oct 3rd, 2006
Last updated Aug 27th, 2008 - about 16 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 1043304140 NPPES
Florida Other 1113AD081801 SUBSTANCE ABUSE LICENSE

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