Healthcare Provider Details

I. General information

NPI: 1124667902
Provider Name (Legal Business Name): CARE 4 ALL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2019
Last Update Date: 12/31/2019
Certification Date: 12/31/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 FLAMINGO DRIVE
BARTOW FL
33830
US

IV. Provider business mailing address

2020 FLAMINGO DRIVE
BARTOW FL
33830
US

V. Phone/Fax

Practice location:
  • Phone: 863-604-0047
  • Fax: 863-537-7530
Mailing address:
  • Phone: 863-604-0047
  • Fax: 863-537-7530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANED ORBEZO
Title or Position: OWNER
Credential: MD
Phone: 863-604-0047