SLB MEDICAL GROUP LLC


Address: 1008 Ne Green Lawn Dr, Jensen Beach, FL 34957-6016
Phone: 7722618685

SLB MEDICAL GROUP LLC (NPI# 1710305529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710305529
Entity Type Organization
Organization Name SLB MEDICAL GROUP LLC
Practice Address 1008 Ne Green Lawn Dr
Jensen Beach
FL 34957-6016
Practice Telephone 7722618685
Practice Fax Number 7722097667
Mailing Telephone 7722618685
Mailing Fax Number 7722097667
Enumeration Date 2014-03-31
Last Update Date 2014-03-31
Authorized Official Name SANDRA BLANKENSHIP (CEO)
Authorized Official Telephone 7723240833
Authorized Official Credential CPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 1008 NE GREEN LAWN DR
City JENSEN BEACH
State FL
Zip Code 34957-6016

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City JENSEN BEACH
Zip Code 34957

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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