Primary Care Center Of Lynn Haven

LBN: Primary Care Center Of Lynn Haven
Primary Care Center Of Lynn Haven is an health care organization with primary practice located at 825 Florida Ave , Lynn Haven FL 32444-2335. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Primary Care Center Of Lynn Haven can be contacted via phone (850) 265-3686, or through Khattak, Asim J via phone (850) 265-3686.

Contact Information

Primary practice address
825 Florida Ave Lynn Haven FL 32444-2335
Fax: (850) 271-5665
Website:
Authorized official contact:
Name: Khattak, Asim J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1700803624
LBN Legal business name Primary Care Center Of Lynn Haven
DBA Doing business as
Authorized official Khattak, Asim J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Oct 26th, 2011 - about 14 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 1700803624 NPPES
Florida Other 1700803624 NPI
Florida MEDICAID 276096700 NPI

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