Provider Demographics
NPI:1902088347
Name:CARE MULTISPECIALTY GROUP LLC
Entity Type:Organization
Organization Name:CARE MULTISPECIALTY GROUP LLC
Other - Org Name:CARE MULTISPECIALITY GROUP LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SATYA
Authorized Official - Middle Name:MADHURI
Authorized Official - Last Name:GULLAPALLI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-221-2273
Mailing Address - Street 1:19007 BRUCE B DOWNS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2475
Mailing Address - Country:US
Mailing Address - Phone:813-221-2273
Mailing Address - Fax:
Practice Address - Street 1:19007 BRUCE B DOWNS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2475
Practice Address - Country:US
Practice Address - Phone:813-221-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93900261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care