Provider Demographics
NPI:1376235051
Name:DE HEALTHCARE CONSULTING, LLC
Entity Type:Organization
Organization Name:DE HEALTHCARE CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DAMONA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-535-9326
Mailing Address - Street 1:2020 W FAIRBANKS AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32789-4560
Mailing Address - Country:US
Mailing Address - Phone:805-535-9326
Mailing Address - Fax:
Practice Address - Street 1:2020 W FAIRBANKS AVE STE 102
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789-4560
Practice Address - Country:US
Practice Address - Phone:805-535-9326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care