Putnam Obstetrics And Gynecology Pa

LBN: Putnam Obstetrics And Gynecology Pa
Putnam Obstetrics And Gynecology Pa is an health care organization with primary practice located at 6061 Saint Johns Ave Suite A, Palatka FL 32177-6857. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Putnam Obstetrics And Gynecology Pa can be contacted via phone (386) 325-0826, or through Akhiyat, Mohamed Michael via phone (386) 325-0826.

Contact Information

Primary practice address
6061 Saint Johns Ave Suite A Palatka FL 32177-6857
Fax: (386) 325-6419
Website:
Authorized official contact:
Name: Akhiyat, Mohamed Michael Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1205804812
LBN Legal business name Putnam Obstetrics And Gynecology Pa
DBA Doing business as
Authorized official Akhiyat, Mohamed Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Jul 17th, 2014 - about 10 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 1205804812 NPPES
Florida MEDICAID 660162600
Florida MEDICAID 660162601

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