Extended Care Medical Services Llc

LBN: Extended Care Medical Services Llc
Extended Care Medical Services Llc is an health care organization with primary practice located at 1730 E Hwy 50 Pmb 4, Clermont FL 34711-2778. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Extended Care Medical Services Llc can be contacted via phone (352) 408-5955, or through Macdonald, Andrea M via phone (352) 536-8140.

Contact Information

Primary practice address
1730 E Hwy 50 Pmb 4 Clermont FL 34711-2778
Phone: (352) 408-5955
Fax: (352) 536-8141
Website:
Map and Directions
Authorized official contact:
Name: Macdonald, Andrea M ARNP
Phone: (352) 536-8140

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1184912818
LBN Legal business name Extended Care Medical Services Llc
DBA Doing business as
Authorized official Macdonald, Andrea M ARNP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2011
Last updated Jul 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184912818 NPPES
Florida MEDICAID 305309100

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