Opes Health Channelside Llc

LBN: Opes Health Channelside Llc
Opes Health Channelside Llc is an health care organization with primary practice located at 912 Channelside Dr Suite 2103, Tampa FL 33602-4229. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Opes Health Channelside Llc can be contacted via phone (813) 906-6737, or through Cruz, Victor via phone (813) 397-3632.

Contact Information

Primary practice address
912 Channelside Dr Suite 2103 Tampa FL 33602-4229
Fax: (855) 916-6737
Website:
Authorized official contact:
Name: Cruz, Victor Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1013385004
LBN Legal business name Opes Health Channelside Llc
DBA Doing business as
Authorized official Cruz, Victor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2015
Last updated Feb 23rd, 2016 - about 10 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 1013385004 NPPES
Florida MEDICAID 015842000

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