Barros Family Healthcare Pa | |
1301 Plantation Island Dr. South 102b St. Augustine FL 32080 | |
(904) 471-2593 | |
(904) 471-4569 |
Full Name | Barros Family Healthcare Pa |
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Speciality | Clinic/Center |
Location | 1301 Plantation Island Dr. South 102b, St. Augustine, Florida |
Authorized Official Name and Position | Ana Plana Barros (OFFICE MANAGER) |
Authorized Official Contact | 9044712593 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Barros Family Healthcare Pa 1301 Plantation Island Dr. South 102b St. Augustine FL 32080 Ph: (904) 471-2593 | Barros Family Healthcare Pa 1301 Plantation Island Dr. South 102b St. Augustine FL 32080 Ph: (904) 471-2593 |
NPI Number | 1306176037 |
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Provider Enumeration Date | 12/31/2009 |
Last Update Date | 12/31/2009 |
Medicare PECOS PAC ID | 3577691062 |
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Medicare Enrollment ID | O20100504000190 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306176037 | NPI | - | NPPES |
378512200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Melchor Barros |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013900893 PECOS PAC ID: 5294863783 Enrollment ID: I20100504000338 |
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