Organization
CAREMED CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY DEMATTEO (CREDENTIALING MANAGER)
(330) 758-2775
Entity
Organization
Contact information
Practice address
4719 HIGHWAY 90, MARIANNA, FL 32446-7839
(850) 526-3314
(850) 526-5022
Mailing address
PO BOX 14397, POLAND, OH 44514-7397
(330) 758-2775
(330) 758-2787
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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