Provider Demographics
NPI:1053578823
Name:SUPERIOR MEDICAL HOUSE CALLS, INC
Entity type:Organization
Organization Name:SUPERIOR MEDICAL HOUSE CALLS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LEONIDES
Authorized Official - Middle Name:
Authorized Official - Last Name:FINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-872-7022
Mailing Address - Street 1:1800 33RD ST STE 210
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-8852
Mailing Address - Country:US
Mailing Address - Phone:407-426-0580
Mailing Address - Fax:407-420-5820
Practice Address - Street 1:1800 33RD ST STE 210
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-8852
Practice Address - Country:US
Practice Address - Phone:407-426-0580
Practice Address - Fax:407-420-5820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty