MEDICARE: CARETEGIC HEALTH, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	10D2252816	OTHER		HRSA

General Provider Information

NPI Number	:	1285389577
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARETEGIC HEALTH, INC

Provider Business Mailing Address
First Line	:	732 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4754
Country	:	US
Telephone Number	:	772-261-8281
Fax Number	:	800-560-2748

Provider Business Practice Location Address
First Line	:	732 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4754
Country	:	US
Telephone Number	:	772-261-8281
Fax Number	:	800-560-2748

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JUANITA DANIELS
Credential	:	AHI, M.B.A.
Telephone Number	:	772-261-8281

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	02/16/2022

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Directions to “CARETEGIC HEALTH, INC ” Practice Location

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