Ashoka Healthcare, Llc | |
17820 Se 109th Ave Ste 104 Summerfield FL 34491-8968 | |
(352) 431-1300 | |
Not Available |
Full Name | Ashoka Healthcare, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 17820 Se 109th Ave, Summerfield, Florida |
Authorized Official Name and Position | Daniel Skidmore (CEO) |
Authorized Official Contact | 3524311300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ashoka Healthcare, Llc Po Box 28 Summerfield FL 34492-0028 Ph: (352) 431-1300 | Ashoka Healthcare, Llc 17820 Se 109th Ave Ste 104 Summerfield FL 34491-8968 Ph: (352) 431-1300 |
NPI Number | 1811344518 |
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Provider Enumeration Date | 05/23/2016 |
Last Update Date | 05/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811344518 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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