| Early Ambulatory Medicine Llc | |
|
740 Lake Ave Clermont FL 34711-2243 | |
| (352) 243-6900 | |
| (352) 243-6902 |
| Full Name | Early Ambulatory Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 740 Lake Ave, Clermont, Florida |
| Authorized Official Name and Position | Carole K Early (OWNER/SOLE PROPRIETOR) |
| Authorized Official Contact | 3522436900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Early Ambulatory Medicine Llc 740 Lake Ave Clermont FL 34711-2243 Ph: (352) 243-6900 | Early Ambulatory Medicine Llc 740 Lake Ave Clermont FL 34711-2243 Ph: (352) 243-6900 |
| NPI Number | 1356655989 |
|---|---|
| Provider Enumeration Date | 08/06/2010 |
| Last Update Date | 08/06/2010 |
| Medicare PECOS PAC ID | 4688798846 |
|---|---|
| Medicare Enrollment ID | O20100825000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356655989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Carole K Early |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790787893 PECOS PAC ID: 2668596826 Enrollment ID: I20100827000315 |
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