Provider Demographics
NPI:1043837834
Name:CRITICAL CARE AND HOSPITAL MEDICINE GROUP PLLC
Entity type:Organization
Organization Name:CRITICAL CARE AND HOSPITAL MEDICINE GROUP PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUMEET
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAVSAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:321-945-6799
Mailing Address - Street 1:12617 NARCOOSSEE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-7147
Mailing Address - Country:US
Mailing Address - Phone:321-945-6799
Mailing Address - Fax:
Practice Address - Street 1:12617 NARCOOSSEE RD STE 300
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-7147
Practice Address - Country:US
Practice Address - Phone:321-945-6799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-29
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty