Sunshine Premier Wellness Center Llc | |
4365 Hunters Park Ln # 50 Orlando FL 32837-7614 | |
(407) 412-5160 | |
(833) 212-3716 |
Full Name | Sunshine Premier Wellness Center Llc |
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Speciality | Psychiatry & Neurology |
Location | 4365 Hunters Park Ln # 50, Orlando, Florida |
Authorized Official Name and Position | Indhira Almonte (OWNER) |
Authorized Official Contact | 8137159802 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sunshine Premier Wellness Center Llc 4365 Hunters Park Ln # 50 Orlando FL 32837-7614 Ph: (407) 412-5160 | Sunshine Premier Wellness Center Llc 4365 Hunters Park Ln # 50 Orlando FL 32837-7614 Ph: (407) 412-5160 |
NPI Number | 1063986461 |
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Provider Enumeration Date | 01/18/2019 |
Last Update Date | 01/18/2019 |
Medicare PECOS PAC ID | 8325389505 |
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Medicare Enrollment ID | O20190417000021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063986461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Indhira Almonte |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1912164781 PECOS PAC ID: 4688860042 Enrollment ID: I20181112000251 |
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