| Central Florida Physicians Llc | |
|
300 E Church St Orlando FL 32801-3544 | |
| (407) 233-1844 | |
| Not Available |
| Full Name | Central Florida Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 300 E Church St, Orlando, Florida |
| Authorized Official Name and Position | Nicanor Christopher Arca (OWNER) |
| Authorized Official Contact | 4072331844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Physicians Llc Po Box 783427 Winter Garden FL 34778-3427 Ph: (407) 233-1844 | Central Florida Physicians Llc 300 E Church St Orlando FL 32801-3544 Ph: (407) 233-1844 |
| NPI Number | 1386816361 |
|---|---|
| Provider Enumeration Date | 03/30/2008 |
| Last Update Date | 06/23/2012 |
| Medicare PECOS PAC ID | 3072686963 |
|---|---|
| Medicare Enrollment ID | O20080725000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386816361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Nicanor Christopher Arca |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144260605 PECOS PAC ID: 1052341161 Enrollment ID: I20050818000379 |
| Provider Name | Jing M Liu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679071039 PECOS PAC ID: 0042567596 Enrollment ID: I20180716001700 |
| Provider Name | Rhea Vergara Ambray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760943500 PECOS PAC ID: 0749523413 Enrollment ID: I20190521000395 |
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