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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