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Contact Information

CCM SPECIALISTS LLC
1108 AMBER LAKE CT
CAPE CORAL, FL33909
 Phone: 425-270-5432
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for CCM SPECIALISTS LLC · (Female)

NPI Number 1891183984
Status Active
Credentials
Entity Individual
Enumeration date 12/26/2014
Last updated 12/26/2014 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # ME105093
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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