MEDICARE: AHCMC, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1649690801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHCMC, LLC

Provider Business Mailing Address
First Line	:	672 N SEMORAN BLVD
Second Line	:	SUITE 201
City	:	ORLANDO
State	:	FL
Zip	:	32807-3350
Country	:	US
Telephone Number	:	321-422-4866
Fax Number	:	407-369-4652

Provider Business Practice Location Address
First Line	:	672 N SEMORAN BLVD
Second Line	:	SUITE 201
City	:	ORLANDO
State	:	FL
Zip	:	32807-3350
Country	:	US
Telephone Number	:	321-422-4866
Fax Number	:	407-369-4652

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	DR. KEITH B. MURRAY
Credential	:	M.D
Telephone Number	:	321-422-4866

Provider Enumeration Date	:	04/25/2014
Last Update Date	:	07/21/2014

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