| Addmedhealth Llc | |
|
12301 Lake Underhill Rd Orlando FL 32828-4508 | |
| (689) 248-6634 | |
| Not Available |
| Full Name | Addmedhealth Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12301 Lake Underhill Rd, Orlando, Florida |
| Authorized Official Name and Position | Felix Iran Lopez Bermudez (CEO/MGR) |
| Authorized Official Contact | 3213176199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addmedhealth Llc 1621 Kersley Cir Lake Mary FL 32746-1925 Ph: (321) 317-6199 | Addmedhealth Llc 12301 Lake Underhill Rd Orlando FL 32828-4508 Ph: (689) 248-6634 |
| NPI Number | 1366139479 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 01/10/2024 |
| Medicare PECOS PAC ID | 4587021258 |
|---|---|
| Medicare Enrollment ID | O20230612001743 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366139479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Felix I Lopez Bermudez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1356683767 PECOS PAC ID: 9739480468 Enrollment ID: I20151222000833 |
| Provider Name | Tamarah Enriquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831675818 PECOS PAC ID: 0446601272 Enrollment ID: I20240105002782 |
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