Organization
EXPRESS CARE OF BELLEVIEW, LLC
Active
Other names
Express Care of Belleview, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CRIMI JR. P.A. (PRESIDENT / CEO / OWNER)
(352) 427-8680
Entity
Organization
Contact information
Practice address
2500 CITRUS BLVD., LEESBURG, FL 34748-3063
(352) 728-2828
(352) 315-3837
Mailing address
10762 SE US HWY 441, BELLEVIEW, FL 34420-3805
(352) 347-5225
(352) 347-1073
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
HC6883
FL
261QR1300X
Rural Health Clinic/Center
HCC6883
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660070103
—
FL
05
—
660230400
—
FL
Enumeration date
05/18/2006
Last updated
12/13/2012
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