Organization
CAREHERE LLC
Active
Parent organization
CAREHERE LLC
Other names
CAREHERE LCS-LEESBURG
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAREHERE LLC
Authorized official
MR. ERNIE CLEVENGER (PRESIDENT)
(615) 221-5901
Entity
Organization
Contact information
Practice address
1908 CENTER ST, LEESBURG, FL 34748-4812
(877) 423-1330
Mailing address
1908 CENTER ST, LEESBURG, FL 34748-4812
(877) 423-1330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
06/17/2016
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