Organization
CAREHERE LLC
Active
Parent organization
CAREHERE LLC
Other names
CAREHERE CITY OF LAKE MARY
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
170 SEMINOLE AVE, LAKE MARY, FL 32746-2929
(407) 302-0046
Mailing address
5141 VIRGINIA WAY STE 350, BRENTWOOD, TN 37027-2319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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