Healthcare Provider Details

I. General information

NPI: 1588076533
Provider Name (Legal Business Name): ALWAYS THERE HEALTH CARE, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 05/27/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6318 PLYMOUTH SORRENTO RD
APOPKA FL
32712-5162
US

IV. Provider business mailing address

6318 PLYMOUTH SORRENTO RD
APOPKA FL
32712-5162
US

V. Phone/Fax

Practice location:
  • Phone: 352-636-8042
  • Fax:
Mailing address:
  • Phone: 352-636-8042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number3189902
License Number StateFL

VIII. Authorized Official

Name: MRS. DOREEN GALL
Title or Position: OWNER
Credential: A.R.N.P.
Phone: 352-636-8042