Southwest Florida Addiction Service

LBN: Southwest Florida Addiction Service
Southwest Florida Addiction Service is an health care organization with primary practice located at 3763 Evans Avenue , Ft Myers FL 33901. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Southwest Florida Addiction Service can be contacted via phone (239) 332-6937, or through Parham, Timothy J. via phone (239) 332-6937.

Contact Information

Primary practice address
3763 Evans Avenue Ft Myers FL 33901
Phone: (239) 332-6937
Fax: (239) 332-0287
Website:
Map and Directions
Authorized official contact:
Name: Parham, Timothy J.
Phone: (239) 332-6937

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X CH1152 Florida
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1518921337
LBN Legal business name Southwest Florida Addiction Service
DBA Doing business as
Authorized official Parham, Timothy J.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2006
Last updated Nov 10th, 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 1518921337 NPPES
Texas Other 0115162 AETNA MANAGEMENT
Texas MEDICAID 060613800 AETNA MANAGEMENT
Texas Other 189858 AETNA MANAGEMENT

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