Provider Demographics
NPI:1073048336
Name:ACCIDENT CARE CLINIC, INC
Entity Type:Organization
Organization Name:ACCIDENT CARE CLINIC, INC
Other - Org Name:CARE CLINIC PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DREW
Authorized Official - Middle Name:COURTNEY
Authorized Official - Last Name:LARKINS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:407-649-3899
Mailing Address - Street 1:136 E COLONIAL DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1234
Mailing Address - Country:US
Mailing Address - Phone:407-649-3899
Mailing Address - Fax:
Practice Address - Street 1:136 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1234
Practice Address - Country:US
Practice Address - Phone:407-649-3899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10082111N00000X
207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty