Magnolia Emergency Physicians Llc

LBN: Magnolia Emergency Physicians Llc
Magnolia Emergency Physicians Llc is an health care organization with primary practice located at 1500 Sw 1St Ave , Ocala FL 34471-6504. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Magnolia Emergency Physicians Llc can be contacted via phone (352) 351-3407, or through Byrne, Gregory via phone (469) 401-2386.

Contact Information

Primary practice address
1500 Sw 1St Ave Ocala FL 34471-6504
Phone: (352) 351-3407
Fax: (352) 351-7602
Website:
Map and Directions
Authorized official contact:
Name: Byrne, Gregory Doctor of Medicine (MD)
Phone: (469) 401-2386

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1164471090
LBN Legal business name Magnolia Emergency Physicians Llc
DBA Doing business as
Authorized official Byrne, Gregory Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2006
Last updated Oct 2nd, 2017 - about 9 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 1164471090 NPPES
Florida Other 45624 BLUE SHIELD
Florida MEDICAID 260431100 BLUE SHIELD

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