Access Family Care Llc | |
712 W 25th St Sanford FL 32771-4232 | |
(407) 402-2303 | |
Not Available |
Full Name | Access Family Care Llc |
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Speciality | Family Medicine |
Location | 712 W 25th St, Sanford, Florida |
Authorized Official Name and Position | Tazeen Tahir Zaidi (MEMBER) |
Authorized Official Contact | 4074022303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Access Family Care Llc Po Box 952917 Lake Mary FL 32795-2917 Ph: () - | Access Family Care Llc 712 W 25th St Sanford FL 32771-4232 Ph: (407) 402-2303 |
NPI Number | 1255796330 |
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Provider Enumeration Date | 12/16/2015 |
Last Update Date | 12/05/2019 |
Medicare PECOS PAC ID | 2365747102 |
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Medicare Enrollment ID | O20160216002342 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255796330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME114284 (Florida) | Primary |
Provider Name | Tazeen T Zaidi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386976009 PECOS PAC ID: 1658558218 Enrollment ID: I20130531000251 |
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