Ridge Pathology Consultants

LBN: Ridge Pathology Consultants
Ridge Pathology Consultants is an health care organization with primary practice located at 200 Avenue F Ne Dept. Of Pathology, Winter Haven FL 33881-4131. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Ridge Pathology Consultants can be contacted via phone (863) 293-1121, or through Botz, Larry D. via phone (863) 293-1121.

Contact Information

Primary practice address
200 Avenue F Ne Dept. Of Pathology Winter Haven FL 33881-4131
Phone: (863) 293-1121
Fax: (863) 291-6071
Website:
Map and Directions
Authorized official contact:
Name: Botz, Larry D. Doctor of Medicine (MD)
Phone: (863) 293-1121

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X

Profile Details

NPI number 1730161068
LBN Legal business name Ridge Pathology Consultants
DBA Doing business as
Authorized official Botz, Larry D. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2005
Last updated Nov 3rd, 2014 - about 12 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 1730161068 NPPES
Florida MEDICAID 061509900
Florida Other CL6584

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