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Contact Information

FLORIDA LIONS CONKLIN CTRS FOR THE BLIND
405 WHITE ST
DAYTONA BEACH, FL32114-2925
 Phone: 386-258-3441
 Fax: 386-258-1155
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for FLORIDA LIONS CONKLIN CTRS FOR THE BLIND

NPI # 1831536515
LBN Legal business name FLORIDA LIONS CONKLIN CTRS FOR THE BLIND
Authorized official ROBERT KELLY - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2013
Last updated 06/04/2013 - About 13 years ago
Identifiers
FL Medicaid 099870202
FL Medicaid 673361196
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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