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Organization
GERICARE CENTER LLC
Active
Organization
GERICARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY EDMOND M.D. (PHYSICIAN)
(352) 666-0790
Entity
Organization
Contact information
Practice address
7539 SPRING HILL DR, SPRING HILL, FL 34606-4350
(352) 666-0790
(352) 666-0903
Mailing address
7539 SPRING HILL DR, SPRING HILL, FL 34606-4350
(352) 666-0790
(352) 666-0903
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME81127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00780
UNIVERSAL ID
FL
01
—
0153626
GHI ID
FL
01
—
06055
BLUE CROSS BLUE SHIELD ID
FL
01
—
123192
HUMANA ID
FL
01
—
125028
HUMANA GOLD PLUS ID
FL
01
—
1988649
UNITED HEALTHCARE ID
FL
01
—
241506
WELLCARE ID
FL
05
—
279581700
—
FL
01
—
28922
AVMED ID
FL
01
—
5589903
FIRST HEALTH ID
FL
01
—
7128124
AETNA ID
FL
01
—
7572308
CIGNA ID
FL
01
—
ME81127
MEDICAL LICENSE ID
FL
01
—
P004912
OPTIMUM ID
FL
01
—
P04912
FREEDOM ID
FL
Enumeration date
10/27/2010
Last updated
05/24/2021
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