Compassionate Care Primary Service | |
18490 Ne 76th Ln Williston FL 32696-3810 | |
(352) 284-4095 | |
(641) 323-5203 |
Full Name | Compassionate Care Primary Service |
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Speciality | Clinic/Center |
Location | 18490 Ne 76th Ln, Williston, Florida |
Authorized Official Name and Position | Dironada Gross Strange (NURSE PRACTITIONER) |
Authorized Official Contact | 3522844095 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Compassionate Care Primary Service 18490 Ne 76th Ln Williston FL 32696-3810 Ph: (352) 284-4095 | Compassionate Care Primary Service 18490 Ne 76th Ln Williston FL 32696-3810 Ph: (352) 284-4095 |
NPI Number | 1790453041 |
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Provider Enumeration Date | 09/01/2021 |
Last Update Date | 02/20/2023 |
Medicare PECOS PAC ID | 2860864980 |
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Medicare Enrollment ID | O20230217000971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790453041 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Dironada G Strange |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033642210 PECOS PAC ID: 8022385020 Enrollment ID: I20170523000964 |
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