Cross Creek Medical Pa

LBN: Cross Creek Medical Pa
Cross Creek Medical Pa is an health care organization with primary practice located at 1381 Cross Creek Cir Suite A, Tallahassee FL 32301-3723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Cross Creek Medical Pa can be contacted via phone (850) 877-6393, or through Sampson, Wayne A via phone (850) 877-6393.

Contact Information

Primary practice address
1381 Cross Creek Cir Suite A Tallahassee FL 32301-3723
Phone: (850) 877-6393
Fax: (850) 877-6393
Website:
Map and Directions
Authorized official contact:
Name: Sampson, Wayne A Doctor of Medicine (MD)
Phone: (850) 877-6393

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0071014FLME Florida

Profile Details

NPI number 1447438486
LBN Legal business name Cross Creek Medical Pa
DBA Doing business as
Authorized official Sampson, Wayne A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2008
Last updated Oct 5th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447438486 NPPES
Florida MEDICAID 250984900
Florida Other DF9814
Florida MEDICAID 003457000

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