Valrico Medical Clinic, Pa

LBN: Valrico Medical Clinic, Pa
Valrico Medical Clinic, Pa is an health care organization with primary practice located at 3119 Lithia Pinecrest Rd , Valrico FL 33596-5632. The organization recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as the primary health care specialty. Valrico Medical Clinic, Pa can be contacted via phone (813) 643-3242, or through Shaw, Sydney via phone (813) 643-3242.

Contact Information

Primary practice address
3119 Lithia Pinecrest Rd Valrico FL 33596-5632
Fax:
Website:
Authorized official contact:
Name: Shaw, Sydney

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X ME83318 Florida

Profile Details

NPI number 1083801609
LBN Legal business name Valrico Medical Clinic, Pa
DBA Doing business as
Authorized official Shaw, Sydney
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 18 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 1083801609 NPPES
Florida Other 13136 BCBS GROUP NUMBER

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