Dynamic Health Centers

LBN: Dynamic Health Centers
Dynamic Health Centers is an health care organization with primary practice located at 163 Sw Stonegate Ter Ste 109 , Lake City FL 32024-3459. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Dynamic Health Centers can be contacted via phone (386) 438-8391, or through Distefano, Melissa via phone (352) 262-5625.

Contact Information

Primary practice address
163 Sw Stonegate Ter Ste 109 Lake City FL 32024-3459
Phone: (386) 438-8391
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Distefano, Melissa
Phone: (352) 262-5625

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X HCC8936 Florida
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1508181272
LBN Legal business name Dynamic Health Centers
DBA Doing business as
Authorized official Distefano, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2010
Last updated Jul 29th, 2021 - about 5 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 1508181272 NPPES
Florida MEDICAID 006309100

Popular Providers