| Doctors At Home Llc | |
|
11479 Cortez Blvd Brooksville FL 34613-7367 | |
| (352) 592-7777 | |
| (352) 592-1155 |
| Full Name | Doctors At Home Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11479 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Dalton M Benson (OWNER) |
| Authorized Official Contact | 3525973511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors At Home Llc 15215 Cortez Blvd Brooksville FL 34613-6072 Ph: (352) 799-0046 | Doctors At Home Llc 11479 Cortez Blvd Brooksville FL 34613-7367 Ph: (352) 592-7777 |
| NPI Number | 1790737922 |
|---|---|
| Provider Enumeration Date | 05/16/2006 |
| Last Update Date | 07/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790737922 | NPI | - | NPPES |
| P01046782 | Other | FL | RAILROAD MEDICARE ATTACHED TO GRP# DR6927 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2005-00475004 (Florida) | Primary |
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