First Coast Ltc Inc

LBN: First Coast Ltc Inc
First Coast Ltc Inc is an health care organization with primary practice located at 6555 Chester Ave Ste 1 , Jacksonville FL 32217-2279. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. First Coast Ltc Inc can be contacted via phone (904) 309-6504, or through Samara, David J via phone (904) 309-6504.

Contact Information

Primary practice address
6555 Chester Ave Ste 1 Jacksonville FL 32217-2279
Phone: (904) 309-6504
Fax: (904) 503-3577
Website:
Map and Directions
Authorized official contact:
Name: Samara, David J Doctor of Medicine (MD)
Phone: (904) 309-6504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1932136314
LBN Legal business name First Coast Ltc Inc
DBA Doing business as
Authorized official Samara, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 7th, 2016 - about 10 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 1932136314 NPPES
Other CG-1814 RAILROAD MEDICARE
MEDICAID 371340700 RAILROAD MEDICARE

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