| Ave Maria Hospitalist Group Llc | |
|
5080 Annunciation Cir Unit 103 Ave Maria FL 34142-9655 | |
| (239) 322-0917 | |
| Not Available |
| Full Name | Ave Maria Hospitalist Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5080 Annunciation Cir Unit 103, Ave Maria, Florida |
| Authorized Official Name and Position | Raul Enad (PRESIDENT) |
| Authorized Official Contact | 2393220917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ave Maria Hospitalist Group Llc 5080 Annunciation Cir Unit 103 Ave Maria FL 34142-9655 Ph: (239) 322-0917 | Ave Maria Hospitalist Group Llc 5080 Annunciation Cir Unit 103 Ave Maria FL 34142-9655 Ph: (239) 322-0917 |
| NPI Number | 1649016296 |
|---|---|
| Provider Enumeration Date | 07/03/2024 |
| Last Update Date | 07/03/2024 |
| Medicare PECOS PAC ID | 2769929694 |
|---|---|
| Medicare Enrollment ID | O20240808003498 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649016296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Primary |
| Provider Name | Raul Enad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659342079 PECOS PAC ID: 9032131479 Enrollment ID: I20220609001505 |
Ave Maria Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Annunciation Cir, Suite 104, Ave Maria, FL 34142 Phone: 239-348-1696 | |
Ave Maria Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Annunciation Cir Unit 103, Ave Maria, FL 34142 Phone: 239-322-0917 Fax: 239-658-5143 |