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Contact Information

PALADIN FAMILY PRACTICE PA
330 S LINE AVE
INVERNESS, FL34452-4606
 Phone: 352-726-4499
 Fax: 352-726-2808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PALADIN FAMILY PRACTICE PA

NPI Number 1922282953
LBN Legal business name PALADIN FAMILY PRACTICE PA
Authorized official BRIAN SLABY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/27/2007
Last updated 01/05/2010 - About 16 years ago
Identifiers
FL License # ME-0074114
FL Medicaid 274066400
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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