Healthcare Provider Details

I. General information

NPI: 1831233360
Provider Name (Legal Business Name): ORTHODOX CATHOLIC HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 SW DADE ST
MADISON FL
32340-2361
US

IV. Provider business mailing address

235 SW DADE ST
MADISON FL
32340-2361
US

V. Phone/Fax

Practice location:
  • Phone: 850-673-8338
  • Fax: 850-948-2822
Mailing address:
  • Phone: 850-673-8338
  • Fax: 850-948-2822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberCH2180
License Number StateFL

VIII. Authorized Official

Name: DR. CARL D BARTHOLOMEW
Title or Position: DIRECTOR
Credential: DC
Phone: 850-673-8338