Branford Family Medical Center | |
303 Suwannee Ave Nw Branford FL 32008-3275 | |
(386) 935-1093 | |
(386) 935-3113 |
Full Name | Branford Family Medical Center |
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Speciality | Family Medicine |
Location | 303 Suwannee Ave Nw, Branford, Florida |
Authorized Official Name and Position | Bienvenido M Samera (PRESIDENT) |
Authorized Official Contact | 3869351093 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Branford Family Medical Center Po Box 846 Branford FL 32008-0846 Ph: (386) 935-1093 | Branford Family Medical Center 303 Suwannee Ave Nw Branford FL 32008-3275 Ph: (386) 935-1093 |
NPI Number | 1740590751 |
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Provider Enumeration Date | 10/12/2010 |
Last Update Date | 10/26/2010 |
Medicare PECOS PAC ID | 2668655747 |
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Medicare Enrollment ID | O20110328000274 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740590751 | NPI | - | NPPES |
038392900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME0028682 (Florida) | Primary |
Provider Name | Bienvenido M Samera |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639199243 PECOS PAC ID: 9638352719 Enrollment ID: I20110328000308 |
Three Rivers Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 208 Suwannee Ave Nw, Branford, FL 32008 Phone: 386-935-1607 Fax: 386-935-1667 | |
Palms Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 103 U.s. Highway 27 Sw, Branford, FL 32008 Phone: 386-935-3090 Fax: 386-935-3198 | |
Branford Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 Suwannee Ave Nw, Branford, FL 32008 Phone: 386-935-1093 Fax: 386-935-3113 |