Saltwater Family Practice

LBN: Saltwater Family Practice
Saltwater Family Practice is an health care organization with primary practice located at 305 Clyde Morris Blvd Ste 200 , Ormond Beach FL 32174-8182. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Saltwater Family Practice can be contacted via phone (386) 281-0939, or through Mercado, Andrea Lee via phone (386) 281-0939.

Contact Information

Primary practice address
305 Clyde Morris Blvd Ste 200 Ormond Beach FL 32174-8182
Phone: (386) 281-0939
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mercado, Andrea Lee Advanced Practice Registered Nurse (APRN)
Phone: (386) 281-0939

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1952900953
LBN Legal business name Saltwater Family Practice
DBA Doing business as
Authorized official Mercado, Andrea Lee Advanced Practice Registered Nurse (APRN)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2020
Last updated Oct 21st, 2020 - about 4 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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