Winter Haven Family Practice, Pa

LBN: Winter Haven Family Practice, Pa
Winter Haven Family Practice, Pa is an health care organization with primary practice located at 1130 1St St S , Winter Haven FL 33880-3903. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Winter Haven Family Practice, Pa can be contacted via phone (863) 229-7486, or through Abuan, Jaime via phone (863) 229-7486.

Contact Information

Primary practice address
1130 1St St S Winter Haven FL 33880-3903
Phone: (863) 229-7486
Fax: (863) 280-6614
Website:
Map and Directions
Authorized official contact:
Name: Abuan, Jaime Doctor of Medicine (MD)
Phone: (863) 229-7486

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X ME90989 Florida

Profile Details

NPI number 1528427150
LBN Legal business name Winter Haven Family Practice, Pa
DBA Doing business as
Authorized official Abuan, Jaime Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2016
Last updated Sep 27th, 2016 - about 9 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 1528427150 NPPES
Florida MEDICAID 270542700

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