Provider Demographics
NPI:1770649063
Name:CAREFREE HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CAREFREE HEALTH SERVICES INC
Other - Org Name:CAREFREE HEALTH SERVICES INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:PANIK
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:561-279-1811
Mailing Address - Street 1:115 AVENUE L
Mailing Address - Street 2:SUITE 115
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-4652
Mailing Address - Country:US
Mailing Address - Phone:561-279-1811
Mailing Address - Fax:800-284-0829
Practice Address - Street 1:115 AVENUE L
Practice Address - Street 2:SUITE 115
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33483-4652
Practice Address - Country:US
Practice Address - Phone:561-279-1811
Practice Address - Fax:800-284-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL200308733332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4637360001Medicare NSC