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280 Patterson Rd Ste 3 Haines City FL 33844-6261 | |
| (863) 877-4489 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 Patterson Rd Ste 3, Haines City, Florida |
| Authorized Official Name and Position | Victoria Barnhart (DIRECTOR) |
| Authorized Official Contact | 9543625432 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
15800 Pines Blvd Ste 330 Pembroke Pines FL 33027-1212 Ph: (954) 362-5432 | 280 Patterson Rd Ste 3 Haines City FL 33844-6261 Ph: (863) 877-4489 |
| NPI Number | 1821614702 |
|---|---|
| Provider Enumeration Date | 06/17/2020 |
| Last Update Date | 09/12/2024 |
| Medicare PECOS PAC ID | 2062822810 |
|---|---|
| Medicare Enrollment ID | O20201105001091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821614702 | NPI | - | NPPES |
| Provider Name | Vaunrance Benjamin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831178706 PECOS PAC ID: 2860429289 Enrollment ID: I20071126000246 |
| Provider Name | Ramona Noguera Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780958819 PECOS PAC ID: 6305074253 Enrollment ID: I20140122001761 |
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