Provider Demographics
NPI:1285078675
Name:CONTINUUM HEALTH CARE, P.A.
Entity type:Organization
Organization Name:CONTINUUM HEALTH CARE, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-391-5522
Mailing Address - Street 1:3067 TAMIAMI TRL STE 4
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-6619
Mailing Address - Country:US
Mailing Address - Phone:941-391-5522
Mailing Address - Fax:941-235-8913
Practice Address - Street 1:3067 TAMIAMI TRL STE 4
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-6619
Practice Address - Country:US
Practice Address - Phone:941-391-5522
Practice Address - Fax:941-235-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0055898261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE66916Medicare UPIN