Atlantis Medical Group Az Pllc

LBN: Atlantis Medical Group Az Pllc
Atlantis Medical Group Az Pllc is an health care organization with primary practice located at 5501 N 19Th Ave , Phoenix AZ 85015-2450. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Hand Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Atlantis Medical Group Az Pllc can be contacted via phone (602) 589-0500, or through Reneau, Sean via phone (602) 802-8636.

Contact Information

Primary practice address
5501 N 19Th Ave Phoenix AZ 85015-2450
Phone: (602) 589-0500
Fax: (602) 314-4552
Website:
Map and Directions
Authorized official contact:
Name: Reneau, Sean
Phone: (602) 802-8636

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1740610039
LBN Legal business name Atlantis Medical Group Az Pllc
DBA Doing business as
Authorized official Reneau, Sean
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2013
Last updated Nov 15th, 2017 - 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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