| Baldwin Park Family Practice, P.a. | |
|
1040 Woodcock Rd Ste. 200 Orlando FL 32803-3525 | |
| (407) 898-4550 | |
| (407) 898-4842 |
| Full Name | Baldwin Park Family Practice, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 1040 Woodcock Rd, Orlando, Florida |
| Authorized Official Name and Position | Priya Maharaj (PHYSICIAN/PRESIDENT) |
| Authorized Official Contact | 4078984550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baldwin Park Family Practice, P.a. 1040 Woodcock Rd Ste. 200 Orlando FL 32803-3525 Ph: (407) 898-4550 | Baldwin Park Family Practice, P.a. 1040 Woodcock Rd Ste. 200 Orlando FL 32803-3525 Ph: (407) 898-4550 |
| NPI Number | 1982613154 |
|---|---|
| Provider Enumeration Date | 08/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507863461 |
|---|---|
| Medicare Enrollment ID | O20061107000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982613154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9299 (Florida) | Primary |
| Provider Name | Priya Maharaj |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891723672 PECOS PAC ID: 8325045289 Enrollment ID: I20061107000303 |
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