Promise Medical Group, Pllc

LBN: Promise Medical Group, Pllc
Promise Medical Group, Pllc is an health care organization with primary practice located at 2351 Clearwater Run , The Villages FL 32162. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Promise Medical Group, Pllc can be contacted via phone (352) 812-0579, or through Stephenson, David Wayne via phone (352) 812-0579.

Contact Information

Primary practice address
2351 Clearwater Run The Villages FL 32162
Phone: (352) 812-0579
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stephenson, David Wayne Doctor of Medicine (MD)
Phone: (352) 812-0579

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME106525 Florida

Profile Details

NPI number 1043560832
LBN Legal business name Promise Medical Group, Pllc
DBA Doing business as
Authorized official Stephenson, David Wayne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2012
Last updated Oct 23rd, 2012 - about 12 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 1043560832 NPPES
Florida Other FD876Z MEDICARE

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