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. (MANAGER/OWNER)
(352) 427-8680
Entity
Organization
Contact information
Practice address
10762 S US HWY 441, BELLEVIEW, FL 34420-3805
(352) 347-5225
(352) 347-1073
Mailing address
10762 SE US HWY 441, BELLEVIEW, FL 34420-3805
(352) 347-5225
(352) 347-1073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
HCC4346
FL
208000000X
Pediatrics Physician
HCC4346
FL
208D00000X
General Practice Physician
HCC4346
FL
261QR1300X
Rural Health Clinic/Center
Primary
HCC4346
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45653
BLUE CROSS BLUE SHIELD FL
FL
05
—
660070100
—
FL
05
—
660070101
—
FL
Enumeration date
05/25/2006
Last updated
12/13/2012
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