Cloud Care Medicine | |
3720 Cord Ave Saint Cloud FL 34772-8061 | |
(407) 666-1116 | |
Not Available |
Full Name | Cloud Care Medicine |
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Speciality | Clinic/Center |
Location | 3720 Cord Ave, Saint Cloud, Florida |
Authorized Official Name and Position | Edurado Pigtain (PARTNER) |
Authorized Official Contact | 4075930323 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cloud Care Medicine 1222 10th St Saint Cloud FL 34769-3343 Ph: (407) 593-0323 | Cloud Care Medicine 3720 Cord Ave Saint Cloud FL 34772-8061 Ph: (407) 666-1116 |
NPI Number | 1336520105 |
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Provider Enumeration Date | 06/17/2015 |
Last Update Date | 08/22/2024 |
Medicare PECOS PAC ID | 8729370184 |
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Medicare Enrollment ID | O20160706001434 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336520105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | ME103425 (Florida) | Primary |
Provider Name | Eduardo C Pigtain |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144469107 PECOS PAC ID: 3274672951 Enrollment ID: I20091209000724 |
Provider Name | Cheryl Knouse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164198206 PECOS PAC ID: 7012296536 Enrollment ID: I20211026000089 |
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