Apollo Primary Care, Llc | |
721 Ciara Creek Cv Longwood FL 32750-4659 | |
(407) 887-7565 | |
(407) 887-1955 |
Full Name | Apollo Primary Care, Llc |
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Speciality | Family Medicine |
Location | 721 Ciara Creek Cv, Longwood, Florida |
Authorized Official Name and Position | Sivapriya Kumar (PHYSICIAN) |
Authorized Official Contact | 4078877565 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Apollo Primary Care, Llc 721 Ciara Creek Cv Longwood FL 32750-4659 Ph: (407) 887-7565 | Apollo Primary Care, Llc 721 Ciara Creek Cv Longwood FL 32750-4659 Ph: (407) 887-7565 |
NPI Number | 1043960750 |
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Provider Enumeration Date | 03/25/2022 |
Last Update Date | 06/28/2023 |
Medicare PECOS PAC ID | 1052794740 |
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Medicare Enrollment ID | O20220812001258 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043960750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Sivapriya Kumar |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639371784 PECOS PAC ID: 9032289848 Enrollment ID: I20080605000649 |
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