Provider Demographics
NPI:1285389577
Name:CARETEGIC HEALTH, INC
Entity type:Organization
Organization Name:CARETEGIC HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:AHI, MBA
Authorized Official - Phone:772-261-8281
Mailing Address - Street 1:732 NE JENSEN BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-4754
Mailing Address - Country:US
Mailing Address - Phone:772-261-8281
Mailing Address - Fax:800-560-2748
Practice Address - Street 1:732 NE JENSEN BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-4754
Practice Address - Country:US
Practice Address - Phone:772-261-8281
Practice Address - Fax:800-560-2748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
10D2252816OtherHRSA