Dr Behal'S Family Practice Clinic

LBN: Dr Behal'S Family Practice Clinic
Dr Behal'S Family Practice Clinic is an health care organization with primary practice located at 1138 Carlton Ave , Lake Wales FL 33853-4305. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Dr Behal'S Family Practice Clinic can be contacted via phone (863) 678-9900, or through D' Vaz, Terence via phone (863) 232-5062.

Contact Information

Primary practice address
1138 Carlton Ave Lake Wales FL 33853-4305
Phone: (863) 678-9900
Fax: (863) 678-9278
Website:
Map and Directions
Authorized official contact:
Name: D' Vaz, Terence
Phone: (863) 232-5062

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME91856 Florida

Profile Details

NPI number 1801054036
LBN Legal business name Dr Behal'S Family Practice Clinic
DBA Doing business as
Authorized official D' Vaz, Terence
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2008
Last updated May 23rd, 2008 - about 18 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 1801054036 NPPES
Florida MEDICAID 271785900
Florida Other 01501

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