T R Suggs Md Medical Clinic Pa

LBN: T R Suggs Md Medical Clinic Pa
T R Suggs Md Medical Clinic Pa is an health care organization with primary practice located at 300 S Main St , Crescent City FL 32112-2729. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. T R Suggs Md Medical Clinic Pa can be contacted via phone (386) 698-1221, or through Suggs, Thelbert R via phone (386) 698-1221.

Contact Information

Primary practice address
300 S Main St Crescent City FL 32112-2729
Phone: (386) 698-1221
Fax: (386) 698-1514
Website:
Map and Directions
Authorized official contact:
Name: Suggs, Thelbert R Doctor of Medicine (MD)
Phone: (386) 698-1221

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1164754602
LBN Legal business name T R Suggs Md Medical Clinic Pa
DBA Doing business as
Authorized official Suggs, Thelbert R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2010
Last updated Aug 12th, 2010 - about 16 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 1164754602 NPPES
Florida MEDICAID 045328500
Florida Other 012686688

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