Sanford Pediatric Associates Pa
LBN: Sanford Pediatric Associates Pa
Sanford Pediatric Associates Pa is an health care organization with primary practice located at 775 Harley Strickland Blvd Suite 101, Orange City FL 32763-7963. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty.
Sanford Pediatric Associates Pa can be contacted via phone (386) 851-0644, or through Terwilleger, John Edward via phone (386) 851-0644.
Contact Information
Primary practice address
775 Harley Strickland Blvd Suite 101
Orange City FL 32763-7963
Phone: (386) 851-0644
Fax: (386) 851-0664
Website:
Authorized official contact:
Name: Terwilleger, John Edward Doctor of Medicine (MD)
Phone: (386) 851-0644
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | ME0045959 | Florida |
Profile Details
| NPI number | 1124491816 |
|---|---|
| LBN Legal business name | Sanford Pediatric Associates Pa |
| DBA Doing business as | |
| Authorized official | Terwilleger, John Edward Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 4th, 2015 |
| Last updated | Nov 4th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124491816 | NPPES |
| Florida | MEDICAID | 044243700 |
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