Mainland Physicians Group Llc

LBN: Mainland Physicians Group Llc
Mainland Physicians Group Llc is an health care organization with primary practice located at 100 Arricola Ave , St Augustine FL 32080-4515. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Mainland Physicians Group Llc can be contacted via phone (904) 825-4368, or through Shaddock, John Paul James via phone (850) 341-6322.

Contact Information

Primary practice address
100 Arricola Ave St Augustine FL 32080-4515
Fax: (904) 825-9107
Website:
Authorized official contact:
Name: Shaddock, John Paul James

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X

Profile Details

NPI number 1003419763
LBN Legal business name Mainland Physicians Group Llc
DBA Doing business as
Authorized official Shaddock, John Paul James
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2020
Last updated Nov 17th, 2020 - about 6 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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