| Associates In Geriatric Medicine Llc | |
|
6503 Plantation Preserve Cir N Fort Myers FL 33966-8366 | |
| (727) 798-0482 | |
| Not Available |
| Full Name | Associates In Geriatric Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6503 Plantation Preserve Cir N, Fort Myers, Florida |
| Authorized Official Name and Position | Prasad Kasireddy (OFFICEMANAGER) |
| Authorized Official Contact | 5034904362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associates In Geriatric Medicine Llc 6503 Plantation Preserve Cir N Fort Myers FL 33966-8366 Ph: (727) 798-0482 | Associates In Geriatric Medicine Llc 6503 Plantation Preserve Cir N Fort Myers FL 33966-8366 Ph: (727) 798-0482 |
| NPI Number | 1790015717 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 07/30/2015 |
| Medicare PECOS PAC ID | 9739376112 |
|---|---|
| Medicare Enrollment ID | O20101210000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790015717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Nallu S Reddy |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1063687556 PECOS PAC ID: 7416012307 Enrollment ID: I20090209000615 |
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