Healthcare Provider Details

I. General information

NPI: 1790447910
Provider Name (Legal Business Name): HEALTHCARE CAREER SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26034 US HIGHWAY 19 N
CLEARWATER FL
33763-2043
US

IV. Provider business mailing address

3901 NW 79TH AVE # 2454798
DORAL FL
33166-6508
US

V. Phone/Fax

Practice location:
  • Phone: 304-989-0664
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: AMANDA PAYNE
Title or Position: AUTHORISED OFFICIAL
Credential:
Phone: 304-989-0664