Atlantic Urgent Care | |
735 Dunlawton Ave Port Orange FL 32127-9226 | |
(386) 872-5190 | |
(386) 872-5193 |
Full Name | Atlantic Urgent Care |
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Speciality | Clinic/Center |
Location | 735 Dunlawton Ave, Port Orange, Florida |
Authorized Official Name and Position | Akram Batniji (OWNER) |
Authorized Official Contact | 3868725190 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Atlantic Urgent Care 111 E 14th St Elmira Heights NY 14903-1303 Ph: (607) 734-9539 | Atlantic Urgent Care 735 Dunlawton Ave Port Orange FL 32127-9226 Ph: (386) 872-5190 |
NPI Number | 1780926949 |
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Provider Enumeration Date | 03/26/2013 |
Last Update Date | 12/09/2013 |
Medicare PECOS PAC ID | 1254567878 |
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Medicare Enrollment ID | O20131203001769 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780926949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QU0200X | Clinic/center - Urgent Care | ME86421 (Florida) | Primary |
Provider Name | Akram M Batniji |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588765945 PECOS PAC ID: 2567358047 Enrollment ID: I20040712001405 |
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