| Galenhealth Medical Center Llc | |
|
9685 Lake Nona Village Pl Ste 204 Orlando FL 32827-7322 | |
| (321) 888-2631 | |
| (321) 900-0012 |
| Full Name | Galenhealth Medical Center Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9685 Lake Nona Village Pl Ste 204, Orlando, Florida |
| Authorized Official Name and Position | Benita Monize (OPERATIONS MANAGER) |
| Authorized Official Contact | 9415869688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Galenhealth Medical Center Llc 9685 Lake Nona Village Pl Ste 204 Orlando FL 32827-7322 Ph: (321) 888-2631 | Galenhealth Medical Center Llc 9685 Lake Nona Village Pl Ste 204 Orlando FL 32827-7322 Ph: (321) 888-2631 |
| NPI Number | 1285383042 |
|---|---|
| Provider Enumeration Date | 03/21/2022 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Medicare PECOS PAC ID | 2860861176 |
|---|---|
| Medicare Enrollment ID | O20221208001772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285383042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Frank J Yanez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578780524 PECOS PAC ID: 3870642010 Enrollment ID: I20090519000365 |
| Provider Name | Graciela Ismelda Maalouf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992968028 PECOS PAC ID: 8224284112 Enrollment ID: I20120808000763 |
| Provider Name | Ayham Mouawad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417261611 PECOS PAC ID: 6103069166 Enrollment ID: I20130823000912 |
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