Healthcare Provider Details

I. General information

NPI: 1417269986
Provider Name (Legal Business Name): AMERICAN HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2010
Last Update Date: 04/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S SEMORAN BLVD
ORLANDO FL
32807-3257
US

IV. Provider business mailing address

100 S SEMORAN BLVD
ORLANDO FL
32807-3257
US

V. Phone/Fax

Practice location:
  • Phone: 407-277-7620
  • Fax: 407-277-7622
Mailing address:
  • Phone: 407-277-7620
  • Fax: 407-277-7622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License NumberHCC8385
License Number StateFL

VIII. Authorized Official

Name: DR. LOAKHNAUTH RAMKISHUN
Title or Position: PRESIDENT
Credential: M.D
Phone: 407-277-7620