Amica Medical Group Llc | |
8613 Chilton Dr Orlando FL 32836-5811 | |
(407) 453-6639 | |
Not Available |
Full Name | Amica Medical Group Llc |
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Speciality | Internal Medicine |
Location | 8613 Chilton Dr, Orlando, Florida |
Authorized Official Name and Position | Paras Bajaj (PRESIDENT) |
Authorized Official Contact | 4074536639 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Amica Medical Group Llc 8613 Chilton Dr Orlando FL 32836-5811 Ph: () - | Amica Medical Group Llc 8613 Chilton Dr Orlando FL 32836-5811 Ph: (407) 453-6639 |
NPI Number | 1366167538 |
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Provider Enumeration Date | 10/10/2022 |
Last Update Date | 10/10/2022 |
Medicare PECOS PAC ID | 9739558354 |
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Medicare Enrollment ID | O20221202002286 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366167538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Paras Bajaj |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972066736 PECOS PAC ID: 6103209192 Enrollment ID: I20220824002576 |
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