Provider Demographics
NPI:1518154921
Name:KARE PHYSICIANS ASSOCIATES PA
Entity Type:Organization
Organization Name:KARE PHYSICIANS ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAILAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:HEGDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:239-989-2243
Mailing Address - Street 1:15750 NEW HAMPSHIRE CT
Mailing Address - Street 2:SUITE B
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33908-4100
Mailing Address - Country:US
Mailing Address - Phone:239-989-2243
Mailing Address - Fax:
Practice Address - Street 1:15750 NEW HAMPSHIRE CT
Practice Address - Street 2:SUITE B
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33908-4100
Practice Address - Country:US
Practice Address - Phone:239-989-2243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-29
Last Update Date:2008-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherHUMANA TRICARE MILITARY