Healthcare Provider Details

I. General information

NPI: 1750642278
Provider Name (Legal Business Name): E&C HEALTH SERVICES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2012
Last Update Date: 05/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3451 E LOUISE LN SUITE 124
HERNANDO FL
34442-4396
US

IV. Provider business mailing address

3451 E LOUISE LN SUITE 124
HERNANDO FL
34442-4396
US

V. Phone/Fax

Practice location:
  • Phone: 727-641-7485
  • Fax:
Mailing address:
  • Phone: 727-641-7485
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIA L. CHAVEZ
Title or Position: PRESIDENT
Credential: O.D.
Phone: 727-641-7485