Lake Shore Orthopedic Specialists
LBN: Shands At Lake Shore Inc
Lake Shore Orthopedic Specialists is an health care organization with primary practice located at 348 Ne Methodist Ter Suite 101, Lake City FL 32055-3409. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Shands At Lake Shore Inc can be contacted via phone (386) 755-4007, or through Mansfield, Jodi via phone (352) 265-0440.
Contact Information
Primary practice address
348 Ne Methodist Ter Suite 101
Lake City FL 32055-3409
Phone: (386) 755-4007
Fax: (352) 733-0069
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | ||
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1497854186 |
|---|---|
| LBN Legal business name | Shands At Lake Shore Inc |
| DBA Doing business as | Lake Shore Orthopedic Specialists |
| Authorized official | Mansfield, Jodi |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 21st, 2006 |
| Last updated | May 7th, 2008 - about 16 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 | 1497854186 | NPPES |
| Florida | MEDICAID | 264258102 | |
| Florida | Other | CK8077 |
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