Ten Broeck Jacksonville Llc

LBN: Ten Broeck Jacksonville Llc
Ten Broeck Jacksonville Llc is an health care organization with primary practice located at 6300 Beach Blvd , Jacksonville FL 32216-2708. The organization recently has only one registered license in Hospitals / Psychiatric Hospital, which is considered as the primary health care specialty. Ten Broeck Jacksonville Llc can be contacted via phone (904) 724-9202, or through Corddry, David via phone (407) 876-2200.

Contact Information

Primary practice address
6300 Beach Blvd Jacksonville FL 32216-2708
Phone: (904) 724-9202
Fax: (904) 724-3797
Website:
Map and Directions
Authorized official contact:
Name: Corddry, David
Phone: (407) 876-2200

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X 4011 Florida

Profile Details

NPI number 1497758312
LBN Legal business name Ten Broeck Jacksonville Llc
DBA Doing business as
Authorized official Corddry, David
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2005
Last updated May 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497758312 NPPES
Florida MEDICAID 075144816

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