| Center One Medical, Llc | |
|
3900 Clark Rd Ste L2 Sarasota FL 34233-2375 | |
| (941) 210-0248 | |
| (941) 210-0247 |
| Full Name | Center One Medical, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3900 Clark Rd Ste L2, Sarasota, Florida |
| Authorized Official Name and Position | John Yee (CEO) |
| Authorized Official Contact | 9412100248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center One Medical, Llc 3900 Clark Rd Ste L2 Sarasota FL 34233-2375 Ph: (386) 214-3170 | Center One Medical, Llc 3900 Clark Rd Ste L2 Sarasota FL 34233-2375 Ph: (941) 210-0248 |
| NPI Number | 1205528569 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 09/30/2024 |
| Medicare PECOS PAC ID | 5698123560 |
|---|---|
| Medicare Enrollment ID | O20231204000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205528569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | John S Yee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225094071 PECOS PAC ID: 5395763767 Enrollment ID: I20080109000423 |
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