Blacksheep Medical Llc

LBN: Blacksheep Medical Llc
Blacksheep Medical Llc is an health care organization with primary practice located at 1425 Hand Ave Suite L, Ormond Beach FL 32174-1135. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Blacksheep Medical Llc can be contacted via phone (386) 256-3977, or through Heine, Kenny via phone (858) 964-1506.

Contact Information

Primary practice address
1425 Hand Ave Suite L Ormond Beach FL 32174-1135
Phone: (386) 256-3977
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 964-1506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X OS8215 Florida

Profile Details

NPI number 1992134712
LBN Legal business name Blacksheep Medical Llc
DBA Doing business as
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 2nd, 2013
Last updated Nov 2nd, 2013 - about 13 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

Popular Providers