Provider Demographics
NPI:1386424851
Name:AJH COMPLETE CARE LLC
Entity type:Organization
Organization Name:AJH COMPLETE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, AGNP-C, APRN
Authorized Official - Phone:407-410-4201
Mailing Address - Street 1:1510 E COLONIAL DR STE 230
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-4734
Mailing Address - Country:US
Mailing Address - Phone:407-410-4201
Mailing Address - Fax:407-550-1329
Practice Address - Street 1:1510 E COLONIAL DR STE 230
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-4734
Practice Address - Country:US
Practice Address - Phone:407-410-4201
Practice Address - Fax:407-550-1329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-03
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty