Organization Name: | MEDICAL HOUSECALL SERVICES INC |
NPI Number: | 1013343193 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE E DAVIS (PRESIDENT) |
Mailing Address: | 6004 Riviera Ln New Port Richey |
State: | FL US |
Postal Code: | 346555629 |
Phone Number: | 7273643791 |
Fax Number: | 7273763873 |
NPI Enumeration Date: | 09/19/2013 |
NPI Last Update Date: | 09/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP3403642 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |