| Alachua Pediatrics And Primary Care | |
|
14900 Nw 140th St Alachua FL 32615-6276 | |
| (386) 418-0004 | |
| (386) 418-0033 |
| Full Name | Alachua Pediatrics And Primary Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 14900 Nw 140th St, Alachua, Florida |
| Authorized Official Name and Position | Nasir Uddin Ahmed (MEDICAL DOCTOR) |
| Authorized Official Contact | 3864541156 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alachua Pediatrics And Primary Care 14900 Nw 140th St Alachua FL 32615-6276 Ph: (386) 418-0004 | Alachua Pediatrics And Primary Care 14900 Nw 140th St Alachua FL 32615-6276 Ph: (386) 418-0004 |
| NPI Number | 1891171914 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 08/11/2015 |
| Medicare PECOS PAC ID | 2163554890 |
|---|---|
| Medicare Enrollment ID | O20150929000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891171914 | NPI | - | NPPES |
| 277630800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME97945 (Florida) | Primary |
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