Healthcare Provider Details

I. General information

NPI: 1346270279
Provider Name (Legal Business Name): SENIOR CARE SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 SW 20TH AVENUE
GAINESVILLE FL
32601
US

IV. Provider business mailing address

15260 NW 147 DRIVE
ALACHUA FL
32615
US

V. Phone/Fax

Practice location:
  • Phone: 352-377-1981
  • Fax: 352-377-0277
Mailing address:
  • Phone: 386-418-1222
  • Fax: 386-418-0622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAMES W MCCAULEY
Title or Position: OWNER
Credential: MD
Phone: 386-418-1222