Healthcare Provider Details

I. General information

NPI: 1275017352
Provider Name (Legal Business Name): CAREMILES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 09/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4530 S ORANGE BLOSSOM TRL # 538
ORLANDO FL
32839-1704
US

IV. Provider business mailing address

4530 S ORANGE BLOSSOM TRL # 538
ORLANDO FL
32839-1704
US

V. Phone/Fax

Practice location:
  • Phone: 682-234-1164
  • Fax:
Mailing address:
  • Phone: 682-234-1164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CHINEDU OKEKE
Title or Position: PRESIDENT
Credential:
Phone: 682-234-1164