Organization
PHYSICIANS FOR ACCOUNTABLE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA GROHLER (MANAGER)
(352) 674-6300
Entity
Organization
Contact information
Practice address
922 ROLLING ACRES RD STE 1, LADY LAKE, FL 32159-5037
(352) 674-6300
(353) 753-6399
Mailing address
922 ROLLING ACRES RD STE 1, LADY LAKE, FL 32159-5037
(352) 674-6300
(527) 536-3993
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061970100
—
FL
01
—
C12688
RR MEDICARE
FL
Enumeration date
09/20/2005
Last updated
03/15/2022
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