Heathrow Internal Medicine Llc
LBN: Heathrow Internal Medicine Llc
Heathrow Internal Medicine Llc is an health care organization with primary practice located at 4106 W Lake Mary Blvd Suite 100, Lake Mary FL 32746-3315. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Heathrow Internal Medicine Llc can be contacted via phone (407) 333-2273, or through Johnson, Tedrick via phone (407) 333-2273.
Contact Information
Primary practice address
4106 W Lake Mary Blvd Suite 100
Lake Mary FL 32746-3315
Phone: (407) 333-2273
Fax: (407) 333-3939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1033387865 |
|---|---|
| LBN Legal business name | Heathrow Internal Medicine Llc |
| DBA Doing business as | |
| Authorized official | Johnson, Tedrick |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 14th, 2008 |
| Last updated | May 28th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033387865 | NPPES |
| Florida | MEDICAID | 000617400 | |
| Florida | MEDICAID | 307909100 | |
| Florida | Other | AM199 | |
| Florida | Other | PTAN DN9084 |
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