Provider Demographics
NPI:1699754523
Name:HEALTH E CHOICE LLC
Entity type:Organization
Organization Name:HEALTH E CHOICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLON
Authorized Official - Middle Name:
Authorized Official - Last Name:DARBYSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-973-4506
Mailing Address - Street 1:29448 STATE ROAD 54
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33543-4226
Mailing Address - Country:US
Mailing Address - Phone:813-973-4506
Mailing Address - Fax:813-973-4724
Practice Address - Street 1:29448 STATE ROAD 54
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-4226
Practice Address - Country:US
Practice Address - Phone:813-973-4506
Practice Address - Fax:813-973-4724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-10
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
FLPH211843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL030849801Medicaid
FL030849800Medicaid
1011369OtherOTHER ID NUMBER
FL5655460001Medicare NSC