Provider Demographics
NPI:1871791574
Name:CENTER FOR COMPREHENSIVE PALLIATIVE CARE L L C
Entity type:Organization
Organization Name:CENTER FOR COMPREHENSIVE PALLIATIVE CARE L L C
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEECHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-873-7400
Mailing Address - Street 1:PO BOX 4860
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34478-4860
Mailing Address - Country:US
Mailing Address - Phone:352-291-5881
Mailing Address - Fax:352-291-5898
Practice Address - Street 1:1528 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6504
Practice Address - Country:US
Practice Address - Phone:352-291-5881
Practice Address - Fax:352-291-5898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-05
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000461400Medicaid
FL000461400Medicaid