Sud Fac Opt

LBN: Sud Facility Optimization, Llc
Sud Fac Opt is an health care organization with primary practice located at 1030 Venetian Dr Unit 202 , Melbourne FL 32904-8466. The organization recently has 10 registered licenses in different health care specialties including Nursing Service Providers / Addiction (Substance Use Disorder), Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Ambulatory Health Care Facilities / Research, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Sud Facility Optimization, Llc can be contacted via phone (954) 260-0104, or through Bouldin, Jay via phone (321) 989-2187.

Contact Information

Primary practice address
1030 Venetian Dr Unit 202 Melbourne FL 32904-8466
Phone: (954) 260-0104
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bouldin, Jay MBBS, MD, PHD22
Phone: (321) 989-2187

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Ambulatory Health Care Facilities / Research 261QR1100X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1467193623
LBN Legal business name Sud Facility Optimization, Llc
DBA Doing business as Sud Fac Opt
Authorized official Bouldin, Jay MBBS, MD, PHD22
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2022
Last updated Aug 6th, 2022 - about 2 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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