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Organization

ENDEAVOR COMPREHENSIVE CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE DAVIS (CEO/OWNER)
(317) 827-2987
Entity
Organization

Contact information

Practice address
3203 DOGWOOD LN, CARMEL, IN 46032-9629
(317) 827-2987
(317) 219-0879
Mailing address
PO BOX 523882, C/O THE MAILBOX #10649, MIAMI, FL 33152-3882
(317) 827-2987
(317) 219-0879

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
207QG0300X
Geriatric Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
208D00000X
General Practice Physician
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LG0600X
Gerontology Nurse Practitioner

Other

Enumeration date
11/14/2022
Last updated
08/07/2024
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