Catalyst Walk-in Clinic | |
1707 East Oak Street Arcadia FL 34266 | |
(863) 448-9242 | |
(863) 491-0760 |
Full Name | Catalyst Walk-in Clinic |
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Speciality | Clinic/Center |
Location | 1707 East Oak Street, Arcadia, Florida |
Authorized Official Name and Position | Sohaan Andrew Chichester-shepperd (PHYSICIAN ASSISTANT) |
Authorized Official Contact | 8634489242 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catalyst Walk-in Clinic 1707 East Oak Street Arcadia FL 34266 Ph: (863) 448-9242 | Catalyst Walk-in Clinic 1707 East Oak Street Arcadia FL 34266 Ph: (863) 448-9242 |
NPI Number | 1194102285 |
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Provider Enumeration Date | 04/28/2015 |
Last Update Date | 08/14/2015 |
Medicare PECOS PAC ID | 6800104860 |
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Medicare Enrollment ID | O20150924003239 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194102285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Tucker Greene |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1023073392 PECOS PAC ID: 9133227028 Enrollment ID: I20070530000388 |
Provider Name | Melissa Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427457936 PECOS PAC ID: 6204058381 Enrollment ID: I20141104002488 |
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