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301 N Brevard Ave Suite B Arcadia FL 34266-4501 | |
(863) 494-2293 | |
(863) 494-1520 |
Full Name | |
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Speciality | Internal Medicine |
Location | 301 N Brevard Ave, Arcadia, Florida |
Authorized Official Name and Position | Charles R. Habelow (OWNER/PHYSICIAN) |
Authorized Official Contact | 8634942293 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 510310 Punta Gorda FL 33951-0310 Ph: (863) 494-2293 | 301 N Brevard Ave Suite B Arcadia FL 34266-4501 Ph: (863) 494-2293 |
NPI Number | 1508029349 |
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Provider Enumeration Date | 07/02/2008 |
Last Update Date | 10/22/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508029349 | NPI | - | NPPES |
DN9810 | Other | FL | RAILROAD MEDICARE B PTAN |
046638701 | Medicaid | FL | |
1881601946 | Other | FL | NPI, TYPE I |
1508029349 | Other | FL | NPI , TYPE II |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME49217 (Florida) | Primary |
Catalyst Walk-in Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1707 East Oak Street, Arcadia, FL 34266 Phone: 863-448-9242 Fax: 863-491-0760 | |