Waterside Medical Llc

LBN: Waterside Medical Llc
Waterside Medical Llc is an health care organization with primary practice located at 311 9Th St N , Naples FL 34102-5885. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Waterside Medical Llc can be contacted via phone (239) 293-4140, or through Black, Matthew L via phone (239) 293-4140.

Contact Information

Primary practice address
311 9Th St N Naples FL 34102-5885
Phone: (239) 293-4140
Fax: (239) 254-3105
Website:
Map and Directions
Authorized official contact:
Name: Black, Matthew L Doctor of Medicine (MD)
Phone: (239) 293-4140

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M80046 Florida

Profile Details

NPI number 1518205038
LBN Legal business name Waterside Medical Llc
DBA Doing business as
Authorized official Black, Matthew L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2013
Last updated Aug 22nd, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1518205038 NPPES
Florida Other HG441A MEDICARE 855-B

Popular Providers