Glory Center, P.A.

LBN: Glory Center, P.A.
Glory Center, P.A. is an health care organization with primary practice located at 6641 Madison St Suite 3, New Port Richey FL 34652-1966. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Glory Center, P.A. can be contacted via phone (727) 232-0826, or through Ikudayisi, David O via phone (813) 495-2234.

Contact Information

Primary practice address
6641 Madison St Suite 3 New Port Richey FL 34652-1966
Phone: (727) 232-0826
Fax: (727) 597-8487
Website:
Map and Directions
Authorized official contact:
Name: Ikudayisi, David O Doctor of Medicine (MD)
Phone: (813) 495-2234

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Florida

Profile Details

NPI number 1558617399
LBN Legal business name Glory Center, P.A.
DBA Doing business as
Authorized official Ikudayisi, David O Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2012
Last updated Feb 5th, 2013 - about 13 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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