<Unavail>

LBN: William Mac Vanderpool Jr
<Unavail> is an health care organization with primary practice located at 2860 Lake Alfred Rd , Winter Haven FL 33881-1435. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. William Mac Vanderpool Jr can be contacted via phone (863) 595-1440, or through Vanderpool, William Mac via phone (863) 595-1440.

Contact Information

Primary practice address
2860 Lake Alfred Rd Winter Haven FL 33881-1435
Phone: (863) 595-1440
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vanderpool, William Mac
Phone: (863) 595-1440

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 1312052 Florida

Profile Details

NPI number 1194723049
LBN Legal business name William Mac Vanderpool Jr
DBA Doing business as <Unavail>
Authorized official Vanderpool, William Mac
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Apr 20th, 2017 - about 9 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 1194723049 NPPES
Florida MEDICAID 026780500
Florida Other R9561

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