<Unavail>
LBN: Brandon Medical Care Llc
<Unavail> is an health care organization with primary practice located at 143 N Oakwood Ave , Brandon FL 33510-4629. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Clinic/Center. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Brandon Medical Care Llc can be contacted via phone (813) 734-8939, or through Mehta, Shital via phone (813) 734-8939.
Contact Information
Primary practice address
143 N Oakwood Ave
Brandon FL 33510-4629
Phone: (813) 734-8939
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X |
Profile Details
| NPI number | 1548818073 |
|---|---|
| LBN Legal business name | Brandon Medical Care Llc |
| DBA Doing business as | <Unavail> |
| Authorized official | Mehta, Shital Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 28th, 2019 |
| Last updated | Apr 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548818073 | NPPES |
| Florida | MEDICAID | 800270806 | |
| Florida | MEDICAID | 861112772 |
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