| Arismendy Enrique Medical Enterprises Inc | |
|
725 S Pine St Sebring FL 33870-3654 | |
| (786) 691-6462 | |
| (727) 954-6546 |
| Full Name | Arismendy Enrique Medical Enterprises Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 725 S Pine St, Sebring, Florida |
| Authorized Official Name and Position | Arismendy Enrique Perez-tavera (OWNER) |
| Authorized Official Contact | 7279001326 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arismendy Enrique Medical Enterprises Inc 4600 Calatrava Ave Sebring FL 33872-1962 Ph: (786) 918-6462 | Arismendy Enrique Medical Enterprises Inc 725 S Pine St Sebring FL 33870-3654 Ph: (786) 691-6462 |
| NPI Number | 1669197901 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 11/28/2022 |
| Medicare PECOS PAC ID | 4183092638 |
|---|---|
| Medicare Enrollment ID | O20221115001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669197901 | NPI | - | NPPES |
| 112118500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arismendy E Perez Tavera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215441225 PECOS PAC ID: 9133526098 Enrollment ID: I20210921001067 |
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