| Central Clinic Llc | |
|
3376 Marnier Blvd Spring Hill FL 34609-2460 | |
| (352) 684-3300 | |
| (352) 684-3222 |
| Full Name | Central Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3376 Marnier Blvd, Spring Hill, Florida |
| Authorized Official Name and Position | Poonam Malhotra (MEMBER) |
| Authorized Official Contact | 3526843300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Clinic Llc 3376 Marnier Blvd Spring Hill FL 34609-2460 Ph: (352) 684-3300 | Central Clinic Llc 3376 Marnier Blvd Spring Hill FL 34609-2460 Ph: (352) 684-3300 |
| NPI Number | 1144526989 |
|---|---|
| Provider Enumeration Date | 01/26/2011 |
| Last Update Date | 10/07/2024 |
| Medicare PECOS PAC ID | 2466632989 |
|---|---|
| Medicare Enrollment ID | O20110215000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144526989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME93291 (Florida) | Primary |
| Provider Name | Poonam Malhotra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619903507 PECOS PAC ID: 8628258142 Enrollment ID: I20110215000737 |
| Provider Name | Olivia Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508539099 PECOS PAC ID: 4082010137 Enrollment ID: I20210915000931 |
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