Railroad Park Pediatrics And Four Corners Pediatrics

LBN: Daniel R. Renuart, M.D., P.A.
Railroad Park Pediatrics And Four Corners Pediatrics is an health care organization with primary practice located at 900 Ingraham Ave , Haines City FL 33844-4336. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Daniel R. Renuart, M.D., P.A. can be contacted via phone (863) 421-6565, or through Renuart, Daniel Robert via phone (863) 421-6565.

Contact Information

Primary practice address
900 Ingraham Ave Haines City FL 33844-4336
Phone: (863) 421-6565
Fax: (863) 421-7474
Website:
Map and Directions
Authorized official contact:
Name: Renuart, Daniel Robert Doctor of Medicine (MD)
Phone: (863) 421-6565

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME70353 Florida

Profile Details

NPI number 1346206935
LBN Legal business name Daniel R. Renuart, M.D., P.A.
DBA Doing business as Railroad Park Pediatrics And Four Corners Pediatrics
Authorized official Renuart, Daniel Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2006
Last updated Oct 19th, 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 1346206935 NPPES
Florida Other 74525 BLUE CROSS BLUE SHIELD #
Florida MEDICAID 272383200 BLUE CROSS BLUE SHIELD #
Florida MEDICAID 272383201 BLUE CROSS BLUE SHIELD #

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