Lps Medical Group Llc

LBN: Lps Medical Group Llc
Lps Medical Group Llc is an health care organization with primary practice located at 1310 N Main St Ste 105 , Kissimmee FL 34744-4244. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Lps Medical Group Llc can be contacted via phone (407) 483-7975, or through Santos, Cruz Adelmis via phone (407) 476-4011.

Contact Information

Primary practice address
1310 N Main St Ste 105 Kissimmee FL 34744-4244
Fax: (888) 772-5242
Website:
Authorized official contact:
Name: Santos, Cruz Adelmis Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME107498 Florida

Profile Details

NPI number 1003151903
LBN Legal business name Lps Medical Group Llc
DBA Doing business as
Authorized official Santos, Cruz Adelmis Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2012
Last updated Dec 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003151903 NPPES
Florida MEDICAID 007-666-400
Florida MEDICAID 004173700
Florida Other FP292Y
Florida Other HI271A

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