<Unavail>

LBN: Bsa Llc
<Unavail> is an health care organization with primary practice located at 1140 Broadband Dr , Melbourne FL 32901-2623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Bsa Llc can be contacted via phone (321) 733-1901, or through Imami, Emran Riaz via phone (321) 733-1901.

Contact Information

Primary practice address
1140 Broadband Dr Melbourne FL 32901-2623
Phone: (321) 733-1901
Fax: (321) 733-0211
Website:
Map and Directions
Authorized official contact:
Name: Imami, Emran Riaz Doctor of Medicine (MD)
Phone: (321) 733-1901

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X ME56101 Florida

Profile Details

NPI number 1851344063
LBN Legal business name Bsa Llc
DBA Doing business as <Unavail>
Authorized official Imami, Emran Riaz Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Apr 11th, 2012 - about 14 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 1851344063 NPPES
Florida MEDICAID 370625700
Florida Other 15274

Popular Providers