National Provider Identifier Database

KESHA HEALTH CARE SERVICELLC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

KESHA HEALTH CARE SERVICE,LLC
135 MANSEAU DR
WINTER HAVEN, FL33880-1719
Phone: 863-595-6212
Fax:
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for KESHA HEALTH CARE SERVICE,LLC

NPI Number 1700176732
Legal business name
LBN
KESHA HEALTH CARE SERVICE,LLC
Authorized official NAKESHA YOUNG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/11/2011
Last updated 04/11/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 001447200
  • FL Medicaid: 001447200
  • FL Medicaid: 001447201
  • FL Medicaid: 003167300

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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