Healthcare Provider Details

I. General information

NPI: 1750285185
Provider Name (Legal Business Name): CAREDOC FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3840 ATMORE GROVE DR
LUTZ FL
33548-7903
US

IV. Provider business mailing address

1302 44TH AVE
GULFPORT MS
39501-2552
US

V. Phone/Fax

Practice location:
  • Phone: 228-236-3872
  • Fax: 228-351-0090
Mailing address:
  • Phone: 228-236-3872
  • Fax: 228-351-0090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. ADDISON SWEEBE
Title or Position: DIRECTOR
Credential:
Phone: 228-806-8914