Provider Demographics
NPI:1891157376
Name:EZ COMP CARE
Entity Type:Organization
Organization Name:EZ COMP CARE
Other - Org Name:EZ DENTAL CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT CLIENT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:EPHRAIM
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:855-939-2667
Mailing Address - Street 1:PO BOX 6787
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33508-6013
Mailing Address - Country:US
Mailing Address - Phone:855-939-2667
Mailing Address - Fax:855-939-2668
Practice Address - Street 1:605 W LUMSDEN RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-5911
Practice Address - Country:US
Practice Address - Phone:855-939-2667
Practice Address - Fax:855-939-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management