Care Level Management Medical Group Florida, Llc

NPI 1063548287 - General Practice - 208D00000X

NPI Details
NPI 1063548287
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD RICHARD
Position CREDENTIALING COORDINATOR
Phone (800) 530-5441
Fax (818) 595-8206
Practice Location
1958 DAIRY RD
MELBOURNE FL, 32904-4045, US
Phone (800) 530-5441
Fax (818) 595-8206
Business Location
5700 CANOGA AVE
SUITE 500
WOODLAND HILLS CA, 91367-6579, US
Phone (800) 377-3606
Fax (818) 595-8206
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Care Level Management Medical Group Florida, Llc NPI is 1063548287, taxonomy code is 208D00000X Care Level Management Medical Group Florida, Llc physically located at 1958 Dairy Rd, Melbourne FL, 32904-4045. NPI Number 1033115704 has the healthcare provider type.

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1063548287 NPI number is provided on an as is basis without warranty of any kind. 1063548287 is maintained by the National Plan & Provider Enumeration System. The contents of Care Level Management Medical Group Florida, Llc are for informational purposes only.