Pioneer Monongalia Medical Group Pllc

LBN: Pioneer Monongalia Medical Group Pllc
Pioneer Monongalia Medical Group Pllc is an health care organization with primary practice located at 13067 N Telecom Pkwy , Temple Terrace FL 33637-0926. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Pioneer Monongalia Medical Group Pllc can be contacted via phone (813) 779-6303, or through Griffith, James via phone (813) 779-6303.

Contact Information

Primary practice address
13067 N Telecom Pkwy Temple Terrace FL 33637-0926
Phone: (813) 779-6303
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Griffith, James
Phone: (813) 779-6303

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1275293599
LBN Legal business name Pioneer Monongalia Medical Group Pllc
DBA Doing business as
Authorized official Griffith, James
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2021
Last updated Dec 28th, 2021 - about 5 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 1275293599 NPPES
Other 123456789 INTERNAL MEDICINE

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