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Organization
CARE LEVEL MANAGEMENT MEDICAL GROUP FLORIDA, LLC
Active
Organization
CARE LEVEL MANAGEMENT MEDICAL GROUP FLORIDA, LLC
Active
Other names
Care Level Management
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ST.ANDREW (CREDENTIALING COORDINATOR)
(800) 377-3606
Entity
Organization
Contact information
Practice address
1958 DAIRY RD, MELBOURNE, FL 32904-4045
(800) 530-5441
(818) 595-8206
Mailing address
5700 CANOGA AVE, SUITE 500, WOODLAND HILLS, CA 91367-6579
(800) 377-3606
(818) 595-8206
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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