| Centaur Medical Center Pllc | |
|
100 W Gore St Ste 605 Orlando FL 32806-1051 | |
| (407) 271-4731 | |
| (407) 271-4738 |
| Full Name | Centaur Medical Center Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 W Gore St Ste 605, Orlando, Florida |
| Authorized Official Name and Position | Akshay Manohar (OWNER) |
| Authorized Official Contact | 4072714731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centaur Medical Center Pllc 100 W Gore St Ste 605 Orlando FL 32806-1051 Ph: (407) 271-4731 | Centaur Medical Center Pllc 100 W Gore St Ste 605 Orlando FL 32806-1051 Ph: (407) 271-4731 |
| NPI Number | 1912685413 |
|---|---|
| Provider Enumeration Date | 07/06/2023 |
| Last Update Date | 07/06/2023 |
| Medicare PECOS PAC ID | 1355798547 |
|---|---|
| Medicare Enrollment ID | O20231109001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912685413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Akshay Manohar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1124314703 PECOS PAC ID: 9638452386 Enrollment ID: I20170203001620 |
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