| Amcare Family Practice Pa | |
|
6201 12th St N Saint Petersburg FL 33702-7301 | |
| (727) 527-9590 | |
| (727) 527-9792 |
| Full Name | Amcare Family Practice Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 6201 12th St N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Dolores Nava-mosquera (PHYSICIAN) |
| Authorized Official Contact | 7275279590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amcare Family Practice Pa 6201 12th St N Saint Petersburg FL 33702-7301 Ph: (727) 527-9590 | Amcare Family Practice Pa 6201 12th St N Saint Petersburg FL 33702-7301 Ph: (727) 527-9590 |
| NPI Number | 1275836595 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 04/27/2011 |
| Medicare PECOS PAC ID | 1658541107 |
|---|---|
| Medicare Enrollment ID | O20110819000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275836595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME27590 (Florida) | Primary |
| Provider Name | Dolores N. Nava-mosquera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356498695 PECOS PAC ID: 2264602713 Enrollment ID: I20120321000267 |
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