Advance Primary Care Llc | |
1133 Se 18th Pl Suite 2 Ocala FL 34471 | |
(352) 861-5765 | |
(352) 867-1801 |
Full Name | Advance Primary Care Llc |
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Speciality | General Practice |
Location | 1133 Se 18th Pl, Ocala, Florida |
Authorized Official Name and Position | Jaime Eli Rubio (OWNER) |
Authorized Official Contact | 3522869255 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Advance Primary Care Llc 1133 Se 18th Pl Suite 2 Ocala FL 34471-5410 Ph: (352) 861-5765 | Advance Primary Care Llc 1133 Se 18th Pl Suite 2 Ocala FL 34471 Ph: (352) 861-5765 |
NPI Number | 1669909305 |
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Provider Enumeration Date | 05/12/2017 |
Last Update Date | 05/12/2017 |
Medicare PECOS PAC ID | 1658637467 |
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Medicare Enrollment ID | O20171110002635 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669909305 | NPI | - | NPPES |
280272400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ACN-194 (Florida) | Primary |
Provider Name | Jaime E Rubio Gonzalez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1255532933 PECOS PAC ID: 1557273257 Enrollment ID: I20080527000812 |
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