Healthcare Provider Details
I. General information
NPI: 1760343560
Provider Name (Legal Business Name): CAREVIA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/20/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1805 JAMES L REDMAN PKWY STE 201
PLANT CITY FL
33563
US
IV. Provider business mailing address
2501 WALDEN WOODS DR # 5412
PLANT CITY FL
33566-7168
US
V. Phone/Fax
- Phone: 305-721-1101
- Fax: 305-675-0117
- Phone: 305-721-1101
- Fax: 305-675-0117
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TOVE
CHRISTENSEN
Title or Position: CEO
Credential: CEO
Phone: 305-721-1101