Advance Preventive Medicine Urgent Care, Llc | |
1400 E Robinson St Orlando FL 32801-2120 | |
(407) 845-8623 | |
Not Available |
Full Name | Advance Preventive Medicine Urgent Care, Llc |
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Speciality | General Practice |
Location | 1400 E Robinson St, Orlando, Florida |
Authorized Official Name and Position | Saied Shemiranei (OWNER) |
Authorized Official Contact | 4078458623 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advance Preventive Medicine Urgent Care, Llc 1400 E Robinson St Orlando FL 32801-2120 Ph: (407) 845-8623 | Advance Preventive Medicine Urgent Care, Llc 1400 E Robinson St Orlando FL 32801-2120 Ph: (407) 845-8623 |
NPI Number | 1871159400 |
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Provider Enumeration Date | 05/20/2019 |
Last Update Date | 07/16/2019 |
Medicare PECOS PAC ID | 3870828379 |
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Medicare Enrollment ID | O20190703002444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871159400 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Saied Ebrahim Shemiranei |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1871951970 PECOS PAC ID: 0840584363 Enrollment ID: I20190703002644 |
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