Healthcare Provider Details

I. General information

NPI: 1558734111
Provider Name (Legal Business Name): ALL ABOUT YOU HOME VISITING CLINICIANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 11/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 BUCKINGHAM CT
SAINT CLOUD FL
34772-8727
US

IV. Provider business mailing address

3550 BUCKINGHAM CT
SAINT CLOUD FL
34772-8727
US

V. Phone/Fax

Practice location:
  • Phone: 321-442-2830
  • Fax: 407-957-0835
Mailing address:
  • Phone: 321-442-2830
  • Fax: 407-957-0835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA D SEEMANN
Title or Position: OWNER
Credential: NP-C
Phone: 321-442-2830