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Contact Information

MAHOGANY REVUE R&D DEVELOPMENT CENTER
903 NE OSCEOLA AVE
OCALA, FL34470-5208
 Phone: 352-368-1900
 Fax: 877-553-1964
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for MAHOGANY REVUE R&D DEVELOPMENT CENTER

NPI # 1598264798
LBN Legal business name MAHOGANY REVUE R&D DEVELOPMENT CENTER
Authorized official CANDACE LEWIS-SHASHIKARSHE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2018
Last updated 02/03/2018 - About 8 years ago
Identifiers n/a
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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