Healthcare Provider Details

I. General information

NPI: 1679712731
Provider Name (Legal Business Name): NEIGHBORLY CARE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13945 EVERGREEN AVE
CLEARWATER FL
33762-4525
US

IV. Provider business mailing address

13945 EVERGREEN AVE
CLEARWATER FL
33762-4525
US

V. Phone/Fax

Practice location:
  • Phone: 727-573-9444
  • Fax:
Mailing address:
  • Phone: 727-573-9444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: DAVID LOMAKA
Title or Position: CEO
Credential:
Phone: 727-573-9444