<Unavail>
LBN: Felipe Fonseca, Llc.
<Unavail> is an health care organization with primary practice located at 2260 Glenwood Dr , Winter Park FL 32792-3312. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is the primary health care specialty.
Felipe Fonseca, Llc. can be contacted via phone (845) 826-0727, or through Johnson, Bj via phone (845) 826-0727.
Contact Information
Primary practice address
2260 Glenwood Dr
Winter Park FL 32792-3312
Phone: (845) 826-0727
Fax: (407) 892-8346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | MH14147 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH14147 | Florida |
Profile Details
| NPI number | 1598284259 |
|---|---|
| LBN Legal business name | Felipe Fonseca, Llc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Johnson, Bj |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 13th, 2017 |
| Last updated | Jun 16th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598284259 | NPPES |
| Florida | Other | 601184189 | MAGELLAN |
| Florida | Other | 4879059 | MAGELLAN |
| Florida | MEDICAID | 020576300 | MAGELLAN |
| Florida | Other | QJK6X | MAGELLAN |
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