Gainesville Pediatric Medicine, Pa

LBN: Gainesville Pediatric Medicine, Pa
Gainesville Pediatric Medicine, Pa is an health care organization with primary practice located at 1131 Nw 64 Terrace Suite B, Gainesville FL 32605-6600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Gainesville Pediatric Medicine, Pa can be contacted via phone (352) 332-9940, or through Numssen, Valerie via phone (352) 332-9940.

Contact Information

Primary practice address
1131 Nw 64 Terrace Suite B Gainesville FL 32605-6600
Phone: (352) 332-9940
Fax: (352) 332-9939
Website:
Map and Directions
Authorized official contact:
Name: Numssen, Valerie Doctor of Medicine (MD)
Phone: (352) 332-9940

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME78807 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME79357 Florida

Profile Details

NPI number 1447495338
LBN Legal business name Gainesville Pediatric Medicine, Pa
DBA Doing business as
Authorized official Numssen, Valerie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2008
Last updated Dec 19th, 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 1447495338 NPPES
Florida MEDICAID 032026900
Florida Other 2680
Florida MEDICAID 032025100

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