Healthcare Provider Details
I. General information
NPI: 1508815358
Provider Name (Legal Business Name): RMED LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2006
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2600 LAKE LUCIEN DR STE 112
MAITLAND FL
32751-7233
US
IV. Provider business mailing address
PO BOX 40549
BELFAST ME
04915-1256
US
V. Phone/Fax
- Phone: 321-207-9029
- Fax: 844-410-7960
- Phone: 904-281-1915
- Fax: 904-281-1119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363AM0700X |
| Taxonomy | Medical Physician Assistant |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | FL |
VIII. Authorized Official
Name:
JEFFREY
STEVENS
Title or Position: OWNER
Credential: DO
Phone: 904-281-1915