Provider Demographics
NPI:1396190955
Name:ERACARE PHYSICIANS LLC
Entity Type:Organization
Organization Name:ERACARE PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANDIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-708-8211
Mailing Address - Street 1:P.O. BOX 120518
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34712-0518
Mailing Address - Country:US
Mailing Address - Phone:352-708-8211
Mailing Address - Fax:855-264-9607
Practice Address - Street 1:2040 OAKLEY SEAVER DR STE 300
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1970
Practice Address - Country:US
Practice Address - Phone:352-708-8211
Practice Address - Fax:855-264-9607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty