Crg34Ah01 Llc

LBN: Crg34Ah01 Llc
Crg34Ah01 Llc is an health care organization with primary practice located at 4540 Southside Blvd Ste 202 , Jacksonville FL 32216-5488. The organization recently has 6 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, Allopathic & Osteopathic Physicians / Orthopaedic Trauma, Allopathic & Osteopathic Physicians / Brain Injury Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Crg34Ah01 Llc can be contacted via phone (904) 503-1065, or through Morris, Logan via phone (904) 503-1065.

Contact Information

Primary practice address
4540 Southside Blvd Ste 202 Jacksonville FL 32216-5488
Phone: (904) 503-1065
Fax: (904) 374-6075
Website:
Map and Directions
Authorized official contact:
Name: Morris, Logan
Phone: (904) 503-1065

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2084P0301X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1265284574
LBN Legal business name Crg34Ah01 Llc
DBA Doing business as
Authorized official Morris, Logan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2024
Last updated Apr 2nd, 2024 - about 2 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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