Kemshol Medical Center Pa

LBN: Kemshol Medical Center Pa
Kemshol Medical Center Pa is an health care organization with primary practice located at 984 Orange Ave , Daytona Beach FL 32114-4667. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Kemshol Medical Center Pa can be contacted via phone (386) 226-3008, or through Thomas, Olubukunola Collins via phone (407) 756-4541.

Contact Information

Primary practice address
984 Orange Ave Daytona Beach FL 32114-4667
Phone: (386) 226-3008
Fax: (386) 226-3044
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Olubukunola Collins Doctor of Medicine (MD)
Phone: (407) 756-4541

Health care specialties

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

Profile Details

NPI number 1023213469
LBN Legal business name Kemshol Medical Center Pa
DBA Doing business as
Authorized official Thomas, Olubukunola Collins Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2007
Last updated Oct 27th, 2007 - about 19 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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