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Organization
RELIANT ACUTE CARE, LLC
Active
Organization
RELIANT ACUTE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCE CHAD HAAS (ADMINISTRATIVE MANAGER/OWNER)
(239) 265-9760
Entity
Organization
Contact information
Practice address
5781 LEE BLVD UNIT 105, LEHIGH ACRES, FL 33971-6338
(239) 265-9760
(239) 491-9128
Mailing address
5781 LEE BLVD UNIT 105, LEHIGH ACRES, FL 33971-6338
(239) 265-9760
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020403900
—
FL
05
—
020403904
—
FL
Enumeration date
01/14/2017
Last updated
07/12/2019
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