Organization
CAREHERE LLC
Active
Parent organization
CAREHERE LLC
Other names
CAREHERE- CITY OF KISSIMMEE
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
100 ALASKA AVE, KISSIMMEE, FL 34741
(407) 943-7895
Mailing address
100 ALASKA AVE, KISSIMMEE, FL 34741
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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