| Complete Care Medical Group, Llc | |
|
2105 S Park Ave Sanford FL 32771-4349 | |
| (407) 402-2210 | |
| Not Available |
| Full Name | Complete Care Medical Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2105 S Park Ave, Sanford, Florida |
| Authorized Official Name and Position | Juliet Woolcock (ADMINISTRATOR) |
| Authorized Official Contact | 4075957668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Medical Group, Llc 2105 S Park Ave Sanford FL 32771-4349 Ph: (407) 878-0181 | Complete Care Medical Group, Llc 2105 S Park Ave Sanford FL 32771-4349 Ph: (407) 402-2210 |
| NPI Number | 1881285799 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 08/17/2021 |
| Medicare PECOS PAC ID | 6709247927 |
|---|---|
| Medicare Enrollment ID | O20230930000646 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881285799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Magdalena G Beltre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811900954 PECOS PAC ID: 8820060197 Enrollment ID: I20040807000156 |
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