Primary Care Medical Center Of Gulfport, Pllc

LBN: Primary Care Medical Center Of Gulfport, Pllc
Primary Care Medical Center Of Gulfport, Pllc is an health care organization with primary practice located at 15444 Dedeaux Rd Ste. B, Gulfport MS 39503-2637. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Primary Care Medical Center Of Gulfport, Pllc can be contacted via phone (228) 832-9038, or through Mcclure, Angela V via phone (228) 832-9038.

Contact Information

Primary practice address
15444 Dedeaux Rd Ste. B Gulfport MS 39503-2637
Phone: (228) 832-9038
Fax: (228) 832-9990
Website:
Map and Directions
Authorized official contact:
Name: Mcclure, Angela V
Phone: (228) 832-9038

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X

Profile Details

NPI number 1427271840
LBN Legal business name Primary Care Medical Center Of Gulfport, Pllc
DBA Doing business as
Authorized official Mcclure, Angela V
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Jul 13th, 2007 - about 17 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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