| Advanced Primary Care, Inc | |
|
4028 Tampa Rd Oldsmar FL 34677-3205 | |
| (813) 814-9088 | |
| (813) 814-9077 |
| Full Name | Advanced Primary Care, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4028 Tampa Rd, Oldsmar, Florida |
| Authorized Official Name and Position | Amanda M Wu (OWNER) |
| Authorized Official Contact | 8138149088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Primary Care, Inc 4028 Tampa Rd Oldsmar FL 34677-3205 Ph: (813) 814-9088 | Advanced Primary Care, Inc 4028 Tampa Rd Oldsmar FL 34677-3205 Ph: (813) 814-9088 |
| NPI Number | 1316930902 |
|---|---|
| Provider Enumeration Date | 08/29/2005 |
| Last Update Date | 09/21/2011 |
| Medicare PECOS PAC ID | 3870775182 |
|---|---|
| Medicare Enrollment ID | O20110308000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316930902 | NPI | - | NPPES |
| 2653052-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME82723 (Florida) | Primary |
| Provider Name | Amanda M Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497754014 PECOS PAC ID: 1951583277 Enrollment ID: I20110308000736 |
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