Panacea Alliance Corp.

LBN: Panacea Alliance Corp.
Panacea Alliance Corp. is an health care organization with primary practice located at 1750 Tree Blvd Ste 5, St Augustine FL 32084-5715. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Panacea Alliance Corp. can be contacted via phone (904) 342-0672, or through Gomez, Eneida via phone (904) 342-0672.

Contact Information

Primary practice address
1750 Tree Blvd Ste 5 St Augustine FL 32084-5715
Phone: (904) 342-0672
Fax: (904) 342-0673
Website:
Map and Directions
Authorized official contact:
Name: Gomez, Eneida Doctor of Medicine (MD)
Phone: (904) 342-0672

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME83444 Florida
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X ME 83444 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1326298803
LBN Legal business name Panacea Alliance Corp.
DBA Doing business as
Authorized official Gomez, Eneida Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2008
Last updated Apr 16th, 2024 - about 2 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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