Southeastern Pediatric Associates, P.A.

LBN: Southeastern Pediatric Associates, P.A.
Southeastern Pediatric Associates, P.A. is an health care organization with primary practice located at 364 Honeysuckle Rd , Dothan AL 36305-1140. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Southeastern Pediatric Associates, P.A. can be contacted via phone (334) 794-8656, or through Everett, S. Lucy via phone (334) 794-8656.

Contact Information

Primary practice address
364 Honeysuckle Rd Dothan AL 36305-1140
Phone: (334) 794-8656
Fax: (337) 702-7047
Website:
Map and Directions
Authorized official contact:
Name: Everett, S. Lucy
Phone: (334) 794-8656

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1093907412
LBN Legal business name Southeastern Pediatric Associates, P.A.
DBA Doing business as
Authorized official Everett, S. Lucy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2007
Last updated Jan 12th, 2011 - about 14 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 1093907412 NPPES
Florida MEDICAID 272658100
Florida MEDICAID 528300110

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