| Organization Name: | ARECHO MEDICAL CLINIC,LLC |
| NPI Number: | 1255730073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALFRED ETAPU ALINGU (OWNER) |
| Mailing Address: | 10045 Cortez Blvd Ste. 122 Weeki Wachee |
| State: | FL US |
| Postal Code: | 346136319 |
| Phone Number: | 3525960405 |
| Fax Number: | 3525974008 |
| NPI Enumeration Date: | 08/18/2014 |
| NPI Last Update Date: | 08/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME77939 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |