| Express Care Of Belleview, Llc | |
|
2500 Citrus Blvd. Leesburg FL 34748-3063 | |
| (352) 728-2828 | |
| (352) 315-3837 |
| Full Name | Express Care Of Belleview, Llc |
|---|---|
| Speciality | General Practice |
| Location | 2500 Citrus Blvd., Leesburg, Florida |
| Authorized Official Name and Position | Michael Crimi (PRESIDENT / CEO / OWNER) |
| Authorized Official Contact | 3524278680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Express Care Of Belleview, Llc 10762 Se Us Hwy 441 Belleview FL 34420-3805 Ph: (352) 347-5225 | Express Care Of Belleview, Llc 2500 Citrus Blvd. Leesburg FL 34748-3063 Ph: (352) 728-2828 |
| NPI Number | 1831142389 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 12/13/2012 |
| Medicare PECOS PAC ID | 6709794332 |
|---|---|
| Medicare Enrollment ID | O20060517000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831142389 | NPI | - | NPPES |
| 660230400 | Medicaid | FL | |
| 660070103 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | HC6883 (Florida) | Primary |
| 261QR1300X | Clinic/center - Rural Health | HCC6883 (Florida) | Secondary |
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