Organization
EPL INNOVATIVE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA L DONOHO (COO,CCO)
(352) 322-2375
Entity
Organization
Contact information
Practice address
1903 NW 45TH AVE, GAINESVILLE, FL 32605-1315
(352) 322-2375
Mailing address
1903 NW 45TH AVE, GAINESVILLE, FL 32605-1315
(352) 322-2375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
251K00000X
Public Health or Welfare Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261Q00000X
Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
333300000X
Emergency Response System Companies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/12/2021
Last updated
11/30/2021
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