Healthcare Provider Details

I. General information

NPI: 1851689947
Provider Name (Legal Business Name): ACCESS 2 HEALTH CARE PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2011
Last Update Date: 07/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15215 CORTEZ BLVD
BROOKSVILLE FL
34613-6072
US

IV. Provider business mailing address

15215 CORTEZ BLVD
BROOKSVILLE FL
34613-6072
US

V. Phone/Fax

Practice location:
  • Phone: 352-799-0046
  • Fax: 352-799-0042
Mailing address:
  • Phone: 352-799-0046
  • Fax: 352-799-0042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: PARIKSITH SINGH
Title or Position: CEO
Credential: M.D.
Phone: 352-799-0046