Phoenix Health

LBN: Phoenix Health Ascendency Llc
Phoenix Health is an health care organization with primary practice located at 17011 State Road 50 Ste 103 , Clermont FL 34711-8203. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Phoenix Health Ascendency Llc can be contacted via phone (323) 695-3822, or through Diaz, Heather via phone (323) 695-3822.

Contact Information

Primary practice address
17011 State Road 50 Ste 103 Clermont FL 34711-8203
Phone: (323) 695-3822
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Heather
Phone: (323) 695-3822

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1336837665
LBN Legal business name Phoenix Health Ascendency Llc
DBA Doing business as Phoenix Health
Authorized official Diaz, Heather
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2023
Last updated May 5th, 2023 - about 2 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 1336837665 NPPES
Florida MEDICAID 277908100

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