Healthcare Provider Details
I. General information
NPI: 1992022164
Provider Name (Legal Business Name): ACCESS 2 HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/28/2010
Last Update Date: 08/12/2022
Certification Date: 08/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14690 SPRING HILL DR SUITE 101
SPRING HILL FL
34609-8102
US
IV. Provider business mailing address
14690 SPRING HILL DR SUITE 101
SPRING HILL FL
34609-8102
US
V. Phone/Fax
- Phone: 352-799-0046
- Fax: 352-799-0042
- Phone: 352-799-0046
- Fax: 352-799-0042
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KAREN
P
HAYES
Title or Position: CFO
Credential:
Phone: 352-597-8960