Southern Magnolia Llc
LBN: Southern Magnolia Llc
Southern Magnolia Llc is an health care organization with primary practice located at 12856 Banyan Creek Dr # 2 , Fort Myers FL 33908-3082. The organization recently has 5 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Assistant, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant is the primary health care specialty.
Southern Magnolia Llc can be contacted via phone (239) 265-5367, or through Geerken, Jamie via phone (239) 265-5367.
Contact Information
Primary practice address
12856 Banyan Creek Dr # 2
Fort Myers FL 33908-3082
Phone: (239) 265-5367
Fax:
Website:
Authorized official contact:
Name: Geerken, Jamie Certified Occupational Therapy Assistant (COTA)
Phone: (239) 265-5367
Health care specialties
Profile Details
| NPI number | 1114693579 |
|---|---|
| LBN Legal business name | Southern Magnolia Llc |
| DBA Doing business as | Southern Magnolia Llc |
| Authorized official | Geerken, Jamie Certified Occupational Therapy Assistant (COTA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 17th, 2021 |
| Last updated | Feb 23rd, 2022 - about 4 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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