My Doctor Pa

LBN: My Doctor Pa
My Doctor Pa is an health care organization with primary practice located at 1200 S Main St Suite 200, Belle Glade FL 33430-7808. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. My Doctor Pa can be contacted via phone (561) 992-8000, or through Harland, Martin Tracy via phone (561) 992-8000.

Contact Information

Primary practice address
1200 S Main St Suite 200 Belle Glade FL 33430-7808
Phone: (561) 992-8000
Fax: (561) 992-8020
Website:
Map and Directions
Authorized official contact:
Name: Harland, Martin Tracy Doctor of Osteopathy (DO)
Phone: (561) 992-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS-0005579 Florida

Profile Details

NPI number 1992785513
LBN Legal business name My Doctor Pa
DBA Doing business as
Authorized official Harland, Martin Tracy Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Apr 28th, 2011 - about 15 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 1992785513 NPPES
Florida MEDICAID 253267100

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