Waters Edge Medical Clinic Tampa Llc

LBN: Waters Edge Medical Clinic Tampa Llc
Waters Edge Medical Clinic Tampa Llc is an health care organization with primary practice located at 1700 66Th St N Ste 304 , St Petersburg FL 33710-5500. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Waters Edge Medical Clinic Tampa Llc can be contacted via phone (727) 550-0855, or through Vodopalas-Puodziunas, Vida via phone (815) 603-9683.

Contact Information

Primary practice address
1700 66Th St N Ste 304 St Petersburg FL 33710-5500
Phone: (727) 550-0855
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vodopalas-Puodziunas, Vida Doctor of Chiropractic (DC)
Phone: (815) 603-9683

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1265054803
LBN Legal business name Waters Edge Medical Clinic Tampa Llc
DBA Doing business as
Authorized official Vodopalas-Puodziunas, Vida Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2020
Last updated Aug 23rd, 2023 - about 3 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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