Funcoast Pediatrics Pa

LBN: Funcoast Pediatrics Pa
Funcoast Pediatrics Pa is an health care organization with primary practice located at 1688 W Granada Blvd Suite 2B, Ormond Beach FL 32174. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Funcoast Pediatrics Pa can be contacted via phone (386) 677-3530, or through White, James Grady via phone (386) 677-3530.

Contact Information

Primary practice address
1688 W Granada Blvd Suite 2B Ormond Beach FL 32174
Phone: (386) 677-3530
Fax: (386) 673-1933
Website:
Map and Directions
Authorized official contact:
Name: White, James Grady Doctor of Medicine (MD)
Phone: (386) 677-3530

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1518911569
LBN Legal business name Funcoast Pediatrics Pa
DBA Doing business as
Authorized official White, James Grady Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 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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