Cypress Family Medical Center Pa | |
9371 Cypress Lake Drive Suite 16 Fort Myers FL 33919-4945 | |
(239) 454-0500 | |
(239) 454-0663 |
Full Name | Cypress Family Medical Center Pa |
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Speciality | Internal Medicine |
Location | 9371 Cypress Lake Drive, Fort Myers, Florida |
Authorized Official Name and Position | Santokh Singh Walha (PRESIDENT) |
Authorized Official Contact | 2394540500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Cypress Family Medical Center Pa 9371 Cypress Lake Drive Suite 16 Fort Myers FL 33919-4945 Ph: (239) 454-0500 | Cypress Family Medical Center Pa 9371 Cypress Lake Drive Suite 16 Fort Myers FL 33919-4945 Ph: (239) 454-0500 |
NPI Number | 1518050285 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 08/29/2023 |
Medicare PECOS PAC ID | 9032219670 |
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Medicare Enrollment ID | O20070711000416 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518050285 | NPI | - | NPPES |
42986 | Other | BCBS FL | |
118376200 | Medicaid | FL | |
253868700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME72023 (Florida) | Primary |
Provider Name | Santokh Walha |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1164409561 PECOS PAC ID: 1658472642 Enrollment ID: I20100908000172 |
Tele-id Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14192 Metropolis Ave, Fort Myers, FL 33912 Phone: 239-245-8223 Fax: 239-244-9481 | |
Vg Primary Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5285 Summerlin Rd Ste 101, Fort Myers, FL 33919 Phone: 978-495-0389 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13813 Metro Pkwy, Fort Myers, FL 33912 Phone: 855-674-4624 | |
Lch- Peds Page Field Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4751 S Cleveland Ave, Fort Myers, FL 33907 Phone: 239-343-9888 Fax: 239-343-9968 | |
Lch-internal Medicine Matthew Drive Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1569 Matthew Dr, Fort Myers, FL 33907 Phone: 239-343-8220 Fax: 239-468-7909 | |
G & C Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4048 Evans Ave, Suite 208, Fort Myers, FL 33901 Phone: 786-991-4400 | |
Millennium Physician Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9671 Gladiolus Dr Ste 109, Fort Myers, FL 33908 Phone: 239-362-1450 Fax: 239-985-9629 |