Healthcare Provider Details

I. General information

NPI: 1134956063
Provider Name (Legal Business Name): ARTEMIS BILLING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 05/10/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

284 SW LOREN CT
LAKE CITY FL
32024-0468
US

IV. Provider business mailing address

284 SW LOREN CT
LAKE CITY FL
32024-0468
US

V. Phone/Fax

Practice location:
  • Phone: 772-404-8426
  • Fax: 772-209-7667
Mailing address:
  • Phone: 772-404-8426
  • Fax: 772-209-7667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SANDRA BLANKENSHIP
Title or Position: CEO
Credential:
Phone: 772-404-8426