| Advanced Primary Care And Geriatrics Pa | |
|
11200 Seminole Blvd Ste 210 Seminole FL 33778-3239 | |
| (727) 319-8900 | |
| (727) 319-8700 |
| Full Name | Advanced Primary Care And Geriatrics Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 11200 Seminole Blvd Ste 210, Seminole, Florida |
| Authorized Official Name and Position | Ramanababu V Paladugu (OWNER) |
| Authorized Official Contact | 7273198900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Primary Care And Geriatrics Pa Po Box 3925 Seminole FL 33775-3925 Ph: (727) 319-8900 | Advanced Primary Care And Geriatrics Pa 11200 Seminole Blvd Ste 210 Seminole FL 33778-3239 Ph: (727) 319-8900 |
| NPI Number | 1235327008 |
|---|---|
| Provider Enumeration Date | 10/05/2007 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 9638226970 |
|---|---|
| Medicare Enrollment ID | O20090402000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235327008 | NPI | - | NPPES |
| DA4797 | Other | FL | RAILROAD MEDICARE-GR |
| 269169800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME79071 (Florida) | Primary |
| Provider Name | Ramanababu V Paladugu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942239025 PECOS PAC ID: 2466509708 Enrollment ID: I20090402000466 |
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