Provider Demographics
NPI:1326434234
Name:JEFFREY A. CARAMEROS PLLC
Entity Type:Organization
Organization Name:JEFFREY A. CARAMEROS PLLC
Other - Org Name:RAINBOW RIVER MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CARAMEROS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, ARNP
Authorized Official - Phone:352-489-0126
Mailing Address - Street 1:20312 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34431-6518
Mailing Address - Country:US
Mailing Address - Phone:352-489-0126
Mailing Address - Fax:352-489-0129
Practice Address - Street 1:20312 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:DUNNELLON
Practice Address - State:FL
Practice Address - Zip Code:34431-6518
Practice Address - Country:US
Practice Address - Phone:352-489-0126
Practice Address - Fax:352-489-0129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9243991261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care