| Advance Family Practice Llc | |
|
1910 N Orange Ave Orlando FL 32804-5528 | |
| (407) 898-1451 | |
| (407) 897-8626 |
| Full Name | Advance Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1910 N Orange Ave, Orlando, Florida |
| Authorized Official Name and Position | Varesh R Patel (PRESIDENT) |
| Authorized Official Contact | 4078981451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Family Practice Llc 1910 N Orange Ave Orlando FL 32804 Ph: (407) 898-1451 | Advance Family Practice Llc 1910 N Orange Ave Orlando FL 32804-5528 Ph: (407) 898-1451 |
| NPI Number | 1649259144 |
|---|---|
| Provider Enumeration Date | 01/12/2006 |
| Last Update Date | 05/25/2016 |
| Medicare PECOS PAC ID | 8729264932 |
|---|---|
| Medicare Enrollment ID | O20110523000616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649259144 | NPI | - | NPPES |
| 34757 | Other | FL | BCBS |
| 289334 | Other | FL | AVMED |
| 47487 | Other | BCBS | |
| 71783 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Varesh R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760461289 PECOS PAC ID: 2163447939 Enrollment ID: I20110523000649 |
| Provider Name | Ramesh M Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174503924 PECOS PAC ID: 1052597275 Enrollment ID: I20110523000677 |
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