Chain Of Lakes Primary Care Llc | |
8976 Conroy Windermere Rd Orlando FL 32835-3128 | |
(407) 217-2410 | |
Not Available |
Full Name | Chain Of Lakes Primary Care Llc |
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Speciality | Clinic/Center |
Location | 8976 Conroy Windermere Rd, Orlando, Florida |
Authorized Official Name and Position | Danielle Alhemovich (OWNER) |
Authorized Official Contact | 3218484986 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chain Of Lakes Primary Care Llc 8976 Conroy Windermere Rd Orlando FL 32835-3128 Ph: () - | Chain Of Lakes Primary Care Llc 8976 Conroy Windermere Rd Orlando FL 32835-3128 Ph: (407) 217-2410 |
NPI Number | 1740912534 |
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Provider Enumeration Date | 06/29/2022 |
Last Update Date | 03/12/2024 |
Medicare PECOS PAC ID | 5597149740 |
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Medicare Enrollment ID | O20220907002087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740912534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Danielle Alhemovich |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831552611 PECOS PAC ID: 3476847385 Enrollment ID: I20190925002536 |
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