Retina Associates Pa

LBN: Retina Associates Pa
Retina Associates Pa is an health care organization with primary practice located at 2 Shircliff Way Suite 715, Jacksonville FL 32204-4753. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Retina Associates Pa can be contacted via phone (904) 388-8446, or through Lambrou, Fred H via phone (904) 388-8446.

Contact Information

Primary practice address
2 Shircliff Way Suite 715 Jacksonville FL 32204-4753
Fax: (904) 384-6261
Website:
Authorized official contact:
Name: Lambrou, Fred H Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0053221 Florida

Profile Details

NPI number 1619958352
LBN Legal business name Retina Associates Pa
DBA Doing business as
Authorized official Lambrou, Fred H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 13th, 2011 - about 13 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 1619958352 NPPES
Georgia Other 00394479A MEDICAID
Georgia MEDICAID 048036300 MEDICAID
Georgia Other 180005784 MEDICAID
Georgia Other 05860 MEDICAID
Georgia Other C12098 MEDICAID
Georgia Other 18BDCCP MEDICAID

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