# DRHOMEVISITCOMLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578830170
- **Authorized official:** DR. STEPHEN NIMBARGI MD (OWNER)
- **Authorized official phone:** (407) 782-3702

## Contact information

- **Practice address:** 745 ORIENTA AVE, STE 1191, ALTAMONTE SPRINGS, FL 32701-5619
- **Practice address phone:** (407) 782-3702
- **Mailing address:** PO BOX 150038, ALTAMONTE SPRINGS, FL 32715-0038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME85807 | FL | Yes |

## Other

- **Enumeration date:** 11/27/2011
- **Last updated:** 05/05/2014