| Organization Name: | EXPRESS CARE OF BELLEVIEW, LLC |
| NPI Number: | 1952357519 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL CRIMI (MANAGER/OWNER) |
| Mailing Address: | 10762 S Us Hwy 441 Belleview |
| State: | FL US |
| Postal Code: | 344203805 |
| Phone Number: | 3523475225 |
| Fax Number: | 3523471073 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 12/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | HCC4346 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |