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6388 Silver Star Rd Ste 1e Orlando FL 32818-3235 | |
(407) 848-7108 | |
(407) 987-4164 |
Full Name | |
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Speciality | Clinic/Center |
Location | 6388 Silver Star Rd Ste 1e, Orlando, Florida |
Authorized Official Name and Position | Ina Augustin Chery (APRN) |
Authorized Official Contact | 4073104416 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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6388 Silver Star Rd Ste 1e Orlando FL 32818-3235 Ph: (407) 848-7108 | 6388 Silver Star Rd Ste 1e Orlando FL 32818-3235 Ph: (407) 848-7108 |
NPI Number | 1912763244 |
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Provider Enumeration Date | 02/23/2024 |
Last Update Date | 04/30/2024 |
Medicare PECOS PAC ID | 3678915360 |
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Medicare Enrollment ID | O20240528000039 |
Identifier | Type | State | Issuer |
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1912763244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Beatrice Aime Celian |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1285031948 PECOS PAC ID: 8022397512 Enrollment ID: I20161128002664 |
Provider Name | Ina A Chery |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942869094 PECOS PAC ID: 3577997212 Enrollment ID: I20200106000737 |
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