Wildwood Family Practice

LBN: Promedica Central Physicians, Llc
Wildwood Family Practice is an health care organization with primary practice located at 2865 N Reynolds Rd Suite 130, Toledo OH 43615-2068. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Sports Medicine is the primary health care specialty. Promedica Central Physicians, Llc can be contacted via phone (419) 578-7036, or through Dixon, Kenya via phone (419) 824-7288.

Contact Information

Primary practice address
2865 N Reynolds Rd Suite 130 Toledo OH 43615-2068
Phone: (419) 578-7036
Fax: (419) 537-5597
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Kenya
Phone: (419) 824-7288

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1548304074
LBN Legal business name Promedica Central Physicians, Llc
DBA Doing business as Wildwood Family Practice
Authorized official Dixon, Kenya
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2007
Last updated Feb 18th, 2008 - 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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