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NPI Code Detail

MEDICARE: EARLY AMBULATORY MEDICINE LLC

MEDICARE: EARLY AMBULATORY MEDICINE LLC
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
1207Q00000XFamily Medicine Physician
2261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1356655989
Entity Type Code : Organization
Provider Name (Legal Business Name) : EARLY AMBULATORY MEDICINE LLC
Provider Business Mailing Address
First Line : 740 LAKE AVE
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2243
Country : US
Telephone Number : 352-243-6900
Fax Number : 352-243-6902
Provider Business Practice Location Address
First Line : 740 LAKE AVE
Second Line :
City : CLERMONT
State : FL
Zip : 34711-2243
Country : US
Telephone Number : 352-243-6900
Fax Number : 352-243-6902
Authorized Official
Title or Position : OWNER/SOLE PROPRIETOR
Name : DR. CAROLE K EARLY
Credential : M.D.
Telephone Number : 352-243-6900
Provider Enumeration Date : 08/06/2010
Last Update Date : 08/06/2010

Similar Medicare Providers

1790787893 — DR. CAROLE KAY EARLY M.D.
Practice Location Address:
740 LAKE AVE
CLERMONT, FL
34711-2243
Practice Phone: 352-243-6900
Practice Fax: 352-243-6902
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1376043018 — CHARLES RICHARD VOGL III
Practice Location Address:
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CLERMONT, FL
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Practice Phone: 352-617-0518
Practice Fax:
1134608342 — PATRICIA VOGL COUNSELOR
Practice Location Address:
2243 MAJESTIC EAGLE CIRCLE
CLERMONT, FL
34714
Practice Phone: 352-617-0514
Practice Fax:
1952838054 — DR. NIKHIL AGRAWAL MD
Practice Location Address:
1919 E HIGHWAY 50 STE 202
CLERMONT, FL
34711-1975
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Practice Fax:
1285318154 — CAMERON LOWERY
Practice Location Address:
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Directions to “EARLY AMBULATORY MEDICINE LLC ” Practice Location

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