Be At Home Primary Care Pllc | |
3202 10th Ln W Palmetto FL 34221-2502 | |
(941) 565-4924 | |
(941) 357-4814 |
Full Name | Be At Home Primary Care Pllc |
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Speciality | Family Medicine |
Location | 3202 10th Ln W, Palmetto, Florida |
Authorized Official Name and Position | Cammie Baird (OFFICE MANAGER) |
Authorized Official Contact | 9415654924 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Be At Home Primary Care Pllc 3202 10th Ln W Palmetto FL 34221-2502 Ph: (941) 565-4924 | Be At Home Primary Care Pllc 3202 10th Ln W Palmetto FL 34221-2502 Ph: (941) 565-4924 |
NPI Number | 1497406318 |
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Provider Enumeration Date | 01/12/2022 |
Last Update Date | 01/12/2022 |
Medicare PECOS PAC ID | 5395130009 |
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Medicare Enrollment ID | O20220316000951 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497406318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cammie Baird |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548715295 PECOS PAC ID: 3375839392 Enrollment ID: I20160831000048 |
Provider Name | Stephanie Lynn Vega |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073253399 PECOS PAC ID: 2264829050 Enrollment ID: I20220426000926 |
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