Port Orange Gynecology Llc

LBN: Port Orange Gynecology Llc
Port Orange Gynecology Llc is an health care organization with primary practice located at 900 N Swallowtail Dr St 102B, Port Orange FL 32129-6102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Port Orange Gynecology Llc can be contacted via phone (386) 492-6929, or through Foust, Paula M. via phone (386) 492-6929.

Contact Information

Primary practice address
900 N Swallowtail Dr St 102B Port Orange FL 32129-6102
Phone: (386) 492-6929
Fax: (386) 492-6930
Website:
Map and Directions
Authorized official contact:
Name: Foust, Paula M. Doctor of Medicine (MD)
Phone: (386) 492-6929

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X ME97528 Florida

Profile Details

NPI number 1548600869
LBN Legal business name Port Orange Gynecology Llc
DBA Doing business as Port Orange Gynecology Llc
Authorized official Foust, Paula M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2013
Last updated Oct 9th, 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 1548600869 NPPES
Florida MEDICAID 277730400

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