Santa Rosa De Lima Medical Pa
LBN: Santa Rosa De Lima Medical Pa
Santa Rosa De Lima Medical Pa is an health care organization with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Santa Rosa De Lima Medical Pa can be contacted via phone (407) 268-5415, or through Calderon, Santiago W. via phone (407) 268-5415.
Contact Information
Primary practice address
1055 Saxon Blvd
Orange City FL 32763-8468
Phone: (407) 268-5415
Fax:
Website:
Authorized official contact:
Name: Calderon, Santiago W. Doctor of Medicine (MD)
Phone: (407) 268-5415
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME70874 | Florida |
Profile Details
| NPI number | 1679538664 |
|---|---|
| LBN Legal business name | Santa Rosa De Lima Medical Pa |
| DBA Doing business as | |
| Authorized official | Calderon, Santiago W. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Nov 27th, 2008 - about 17 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 | 1679538664 | NPPES |
| Florida | Other | 150170 | HEALTHEASE |
| Florida | Other | 94709 | HEALTHEASE |
| Florida | Other | 000830802 | HEALTHEASE |
| Florida | Other | 13935 | HEALTHEASE |
| Florida | MEDICAID | 263393100 | HEALTHEASE |
| Florida | Other | CH6285 | HEALTHEASE |
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