MEDICARE: CARE CONNECTION

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	305S00000X	Point of Service	RN475332	FL

General Provider Information

NPI Number	:	1669729315
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CONNECTION

Provider Business Mailing Address
First Line	:	2788 HIGHLAND VIEW CIR
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5893
Country	:	US
Telephone Number	:	352-243-4725
Fax Number	:	352-243-4725

Provider Business Practice Location Address
First Line	:	2788 HIGHLAND VIEW CIR
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-5893
Country	:	US
Telephone Number	:	352-243-4725
Fax Number	:	352-243-4725

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SUSAN B FRIEND
Credential	:	RN
Telephone Number	:	352-243-4725

Provider Enumeration Date	:	08/13/2012
Last Update Date	:	08/13/2012

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Directions to “CARE CONNECTION ” Practice Location

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