Provider Demographics
NPI:1467229948
Name:CAREMONT HEALTH LLC
Entity Type:Organization
Organization Name:CAREMONT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAT
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:470-979-7018
Mailing Address - Street 1:513 MASK RD
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5612
Mailing Address - Country:US
Mailing Address - Phone:470-979-7018
Mailing Address - Fax:
Practice Address - Street 1:600 CLEVELAND ST STE 237
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33755-4151
Practice Address - Country:US
Practice Address - Phone:470-979-7018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty