EARLY AMBULATORY MEDICINE LLC NPI 1356655989

NPI Information

EARLY AMBULATORY MEDICINE LLC is a primary care clinic center in Clermont, FL. EARLY AMBULATORY MEDICINE LLC NPI is 1356655989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

740 LAKE AVE
CLERMONT, FL
ZIP 34711-243
Phone: (352) 243-6900
Fax: (352) 243-6902

The provider's authorized official is Carole K Early .
The authorized official title is Owner/sole Proprietor and has the following contact phone number (352) 243-6900.

The CLIA number assigned to this NPI record is 10D0978755 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/6/2010 and was last updated on 8/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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