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Contact Information

ESTATE VENTURES, LLC
559 W TWINCOURT TRL
#607
SAINT AUGUSTINE, FL32095-8805
 Phone: 904-230-3006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ESTATE VENTURES, LLC

NPI Number 1033505706
LBN Legal business name ESTATE VENTURES, LLC
Authorized official KAI MCGREEVY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2015
Last updated 08/17/2015 - About 11 years ago
Identifiers
FL License # ME109028
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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