| Combined Health Center Corp | |
|
1417 N Semoran Blvd Ste 104 Orlando FL 32807-3555 | |
| (407) 587-9848 | |
| (407) 705-2152 |
| Full Name | Combined Health Center Corp |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1417 N Semoran Blvd Ste 104, Orlando, Florida |
| Authorized Official Name and Position | Adrian Delgado (ADMINISTRATOR) |
| Authorized Official Contact | 4077047633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Combined Health Center Corp 1417 N Semoran Blvd Ste 104 Orlando FL 32807-3555 Ph: (407) 587-9848 | Combined Health Center Corp 1417 N Semoran Blvd Ste 104 Orlando FL 32807-3555 Ph: (407) 587-9848 |
| NPI Number | 1407324213 |
|---|---|
| Provider Enumeration Date | 11/09/2018 |
| Last Update Date | 10/19/2023 |
| Medicare PECOS PAC ID | 6608207691 |
|---|---|
| Medicare Enrollment ID | O20200506002842 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407324213 | NPI | - | NPPES |
| 119018700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Eric J Carbonell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801805791 PECOS PAC ID: 1456340660 Enrollment ID: I20040511001292 |
| Provider Name | Harold Gomez Acevedo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083146948 PECOS PAC ID: 6901236132 Enrollment ID: I20200430001061 |
| Provider Name | Joel David Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508598178 PECOS PAC ID: 3274914270 Enrollment ID: I20220722000501 |
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