Provider Demographics
NPI:1518229426
Name:FOCUS HEALTHCARE SYSTEMS, LLC
Entity Type:Organization
Organization Name:FOCUS HEALTHCARE SYSTEMS, LLC
Other - Org Name:DOCTORS EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:PEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-999-1440
Mailing Address - Street 1:1500 N MCMULLEN BOOTH RD
Mailing Address - Street 2:SUITE A1-A2
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-5504
Mailing Address - Country:US
Mailing Address - Phone:727-266-1266
Mailing Address - Fax:727-266-1276
Practice Address - Street 1:1500 N MCMULLEN BOOTH RD
Practice Address - Street 2:SUITE A1-A2
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-5504
Practice Address - Country:US
Practice Address - Phone:727-266-1266
Practice Address - Fax:727-266-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-15
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL11000125763261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGJ789AMedicare PIN