Sports Medicine Institute

LBN: Physician Business Alliance Inc
Sports Medicine Institute is an health care organization with primary practice located at 2020 Oakley Seaver Dr , Clermont FL 34711. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Physician Business Alliance Inc can be contacted via phone (352) 242-0404, or through Nowicki, Kevin Donald via phone (352) 242-0404.

Contact Information

Primary practice address
2020 Oakley Seaver Dr Clermont FL 34711
Phone: (352) 242-0404
Fax: (352) 242-0877
Website:
Map and Directions
Authorized official contact:
Name: Nowicki, Kevin Donald Doctor of Medicine (MD)
Phone: (352) 242-0404

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1427017466
LBN Legal business name Physician Business Alliance Inc
DBA Doing business as Sports Medicine Institute
Authorized official Nowicki, Kevin Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 16th, 2017 - about 8 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 1427017466 NPPES
Florida Other 33191 BC/BS FL

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