| Advance Geriatric Care Llc | |
|
1133 Se 18th Pl Ste 2 Ocala FL 34471-5404 | |
| (352) 861-5765 | |
| (352) 867-1801 |
| Full Name | Advance Geriatric Care Llc |
|---|---|
| Speciality | General Practice |
| Location | 1133 Se 18th Pl Ste 2, Ocala, Florida |
| Authorized Official Name and Position | Jaime Eli Rubio Gonzales (OWNER) |
| Authorized Official Contact | 3528615765 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Geriatric Care Llc 1133 Se 18th Pl Ste 2 Ocala FL 34471-5404 Ph: (352) 861-5765 | Advance Geriatric Care Llc 1133 Se 18th Pl Ste 2 Ocala FL 34471-5404 Ph: (352) 861-5765 |
| NPI Number | 1518620954 |
|---|---|
| Provider Enumeration Date | 10/21/2021 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 0840688685 |
|---|---|
| Medicare Enrollment ID | O20211027000834 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518620954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jaime E Rubio Gonzalez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1255532933 PECOS PAC ID: 1557273257 Enrollment ID: I20080527000812 |
| Provider Name | Sandy Caterine Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982050332 PECOS PAC ID: 4284913161 Enrollment ID: I20161116002689 |
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