<Unavail>

LBN: Gwendolyn Mcleod
<Unavail> is an health care organization with primary practice located at 3015 W Dixie Blvd , Fort Pierce FL 34946-1708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Gwendolyn Mcleod can be contacted via phone (772) 940-1632, or through Mcleod, Gwendolyn D via phone (772) 940-1632.

Contact Information

Primary practice address
3015 W Dixie Blvd Fort Pierce FL 34946-1708
Phone: (772) 940-1632
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mcleod, Gwendolyn D
Phone: (772) 940-1632

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1225481260
LBN Legal business name Gwendolyn Mcleod
DBA Doing business as <Unavail>
Authorized official Mcleod, Gwendolyn D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 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 1225481260 NPPES
Florida MEDICAID EAHCA013Z

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