Provider Demographics
NPI:1508530742
Name:AEI CARE
Entity Type:Organization
Organization Name:AEI CARE
Other - Org Name:AEI CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:JR
Authorized Official - Credentials:DNP, APRN
Authorized Official - Phone:800-962-2503
Mailing Address - Street 1:2540 W EXECUTIVE CENTER CIRCLE, SUITE 100
Mailing Address - Street 2:DPT# 25031
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-5019
Mailing Address - Country:US
Mailing Address - Phone:800-962-2503
Mailing Address - Fax:
Practice Address - Street 1:2540 W EXECUTIVE CENTER CIRCLE, SUITE 100
Practice Address - Street 2:DPT# 25031
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-5019
Practice Address - Country:US
Practice Address - Phone:561-567-9499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-02
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty