Provider Demographics
NPI:1902094337
Name:PLEASANT CARE INC
Entity Type:Organization
Organization Name:PLEASANT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PURITA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BIGLETE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-342-6087
Mailing Address - Street 1:PO BOX 593794
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32859-3794
Mailing Address - Country:US
Mailing Address - Phone:407-342-6087
Mailing Address - Fax:407-858-4439
Practice Address - Street 1:3252 TIMUCUA CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7128
Practice Address - Country:US
Practice Address - Phone:407-342-6087
Practice Address - Fax:407-858-4439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2008-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0023356208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL05314OtherBCBS FLORIDA
FLK1530Medicare PIN
FL05314OtherBCBS FLORIDA