| Certmedicals Walk In Clinic And Wound Care Pllc | |
|
917 Rinehart Rd Ste 2041 Lake Mary FL 32746-4806 | |
| (321) 926-3649 | |
| (321) 926-3651 |
| Full Name | Certmedicals Walk In Clinic And Wound Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 917 Rinehart Rd Ste 2041, Lake Mary, Florida |
| Authorized Official Name and Position | Judepatricks M Onyema (PRESIDENT) |
| Authorized Official Contact | 3219263649 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Certmedicals Walk In Clinic And Wound Care Pllc 917 Rinehart Rd Ste 2041 Lake Mary FL 32746-4806 Ph: (321) 926-3649 | Certmedicals Walk In Clinic And Wound Care Pllc 917 Rinehart Rd Ste 2041 Lake Mary FL 32746-4806 Ph: (321) 926-3649 |
| NPI Number | 1639764871 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Medicare PECOS PAC ID | 9234547803 |
|---|---|
| Medicare Enrollment ID | O20210420001509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639764871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Judepatricks M Onyema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891960100 PECOS PAC ID: 2668648999 Enrollment ID: I20120109000024 |
| Provider Name | Edward Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225758337 PECOS PAC ID: 2860864329 Enrollment ID: I20230209000502 |
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