Prescribed Pediatric Extended Care, Inc

LBN: Prescribed Pediatric Extended Care, Inc
Prescribed Pediatric Extended Care, Inc is an health care organization with primary practice located at 125 Executive Cir , Daytona Beach FL 32114-1180. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Prescribed Pediatric Extended Care, Inc can be contacted via phone (386) 253-6868, or through Tosti, Heidi via phone (813) 880-0320.

Contact Information

Primary practice address
125 Executive Cir Daytona Beach FL 32114-1180
Phone: (386) 253-6868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tosti, Heidi
Phone: (813) 880-0320

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1861074726
LBN Legal business name Prescribed Pediatric Extended Care, Inc
DBA Doing business as
Authorized official Tosti, Heidi
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2021
Last updated Apr 21st, 2021 - about 4 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 1861074726 NPPES
Florida MEDICAID 880567903

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