Crest Medical Center

LBN: North Lagoon Medical, Llc
Crest Medical Center is an health care organization with primary practice located at 8317 Front Beach Rd Ste 37B , Panama City Beach FL 32407-4896. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as the primary health care specialty. North Lagoon Medical, Llc can be contacted via phone (352) 504-8546, or through Aldridge, Ronald Joseph via phone (352) 504-8546.

Contact Information

Primary practice address
8317 Front Beach Rd Ste 37B Panama City Beach FL 32407-4896
Phone: (352) 504-8546
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Aldridge, Ronald Joseph Physician Assistant (PA)
Phone: (352) 504-8546

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3330 Florida

Profile Details

NPI number 1770922007
LBN Legal business name North Lagoon Medical, Llc
DBA Doing business as Crest Medical Center
Authorized official Aldridge, Ronald Joseph Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2013
Last updated Jun 20th, 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 1770922007 NPPES
Florida MEDICAID 292267300
Florida Other S74011
Florida Other Y0A3J

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