| Alfredo J. Farinas Md Pa | |
|
600 E Dixie Ave Leesburg FL 34748-5925 | |
| (352) 638-3515 | |
| Not Available |
| Full Name | Alfredo J. Farinas Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 E Dixie Ave, Leesburg, Florida |
| Authorized Official Name and Position | Alfredo J Farinas (PRESIDENT) |
| Authorized Official Contact | 3526383515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alfredo J. Farinas Md Pa Po Box 877 Mount Dora FL 32756-0877 Ph: (352) 638-3515 | Alfredo J. Farinas Md Pa 600 E Dixie Ave Leesburg FL 34748-5925 Ph: (352) 638-3515 |
| NPI Number | 1750498051 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 11/03/2009 |
| Medicare PECOS PAC ID | 2466457072 |
|---|---|
| Medicare Enrollment ID | O20061003000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750498051 | NPI | - | NPPES |
| 271645300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME90090 (Florida) | Primary |
| Provider Name | Alfredo J Farinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396795662 PECOS PAC ID: 9133180896 Enrollment ID: I20041026000148 |
| Provider Name | Pilar Cecilia Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437495215 PECOS PAC ID: 3072742477 Enrollment ID: I20140205001392 |
| Provider Name | Ramon Lazaro Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407487473 PECOS PAC ID: 1153758131 Enrollment ID: I20200304001442 |
| Provider Name | Catrina M Hajal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962008532 PECOS PAC ID: 1658786637 Enrollment ID: I20210225001336 |
| Provider Name | Matthew C Booker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306402391 PECOS PAC ID: 2668880709 Enrollment ID: I20210409000895 |
| Provider Name | Shelby S Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518633940 PECOS PAC ID: 3072911130 Enrollment ID: I20211005001204 |
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