Provider Demographics
NPI:1093094682
Name:APEX TRAVEL MEDICINE LLC
Entity Type:Organization
Organization Name:APEX TRAVEL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANE
Authorized Official - Middle Name:O
Authorized Official - Last Name:DARKO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:202-293-5001
Mailing Address - Street 1:1900 L ST NW
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-5002
Mailing Address - Country:US
Mailing Address - Phone:202-293-5001
Mailing Address - Fax:202-293-5011
Practice Address - Street 1:1900 L ST NW
Practice Address - Street 2:SUITE 204
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5002
Practice Address - Country:US
Practice Address - Phone:202-293-5001
Practice Address - Fax:202-293-5011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-12
Last Update Date:2011-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service