| Colmedical Care | |
|
7824 Lake Underhill Rd Ste A Orlando FL 32822-8201 | |
| (407) 270-8164 | |
| (407) 730-7007 |
| Full Name | Colmedical Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 7824 Lake Underhill Rd Ste A, Orlando, Florida |
| Authorized Official Name and Position | Jorge G Ballesteros (EMPLOYEE) |
| Authorized Official Contact | 4073463648 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colmedical Care 7824 Lake Underhill Rd Ste A Orlando FL 32822-8201 Ph: (407) 270-8164 | Colmedical Care 7824 Lake Underhill Rd Ste A Orlando FL 32822-8201 Ph: (407) 270-8164 |
| NPI Number | 1427525963 |
|---|---|
| Provider Enumeration Date | 11/01/2018 |
| Last Update Date | 02/02/2023 |
| Medicare PECOS PAC ID | 1153792023 |
|---|---|
| Medicare Enrollment ID | O20230201001471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427525963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jose F Bichara-sudah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336302421 PECOS PAC ID: 1355590753 Enrollment ID: I20120928000269 |
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