Citrus Preferred Clinic, Llc | |
81 W Albany Ln Hernando FL 34442-8279 | |
(301) 556-8681 | |
Not Available |
Full Name | Citrus Preferred Clinic, Llc |
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Speciality | Internal Medicine |
Location | 81 W Albany Ln, Hernando, Florida |
Authorized Official Name and Position | Louis B Bois (MEDICAL DOCTOR) |
Authorized Official Contact | 3015568681 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Citrus Preferred Clinic, Llc 81 W Albany Ln Hernando FL 34442-8279 Ph: (301) 556-8681 | Citrus Preferred Clinic, Llc 81 W Albany Ln Hernando FL 34442-8279 Ph: (301) 556-8681 |
NPI Number | 1750976874 |
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Provider Enumeration Date | 03/02/2021 |
Last Update Date | 03/02/2021 |
Medicare PECOS PAC ID | 0840692182 |
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Medicare Enrollment ID | O20210709000833 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750976874 | NPI | - | NPPES |
008814900 | Medicaid | FL | |
014444800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Josenie Desamour |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144402538 PECOS PAC ID: 5193963478 Enrollment ID: I20130528000263 |
Provider Name | Louis Bernadin Claudel Bois |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508127002 PECOS PAC ID: 2264738152 Enrollment ID: I20160302000869 |
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