Daydream Sunshine Initiative | |
4000 Mitchellville Rd Ste A406 Bowie MD 20716-3139 | |
(301) 262-0400 | |
Not Available |
Full Name | Daydream Sunshine Initiative |
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Speciality | Internal Medicine |
Location | 4000 Mitchellville Rd Ste A406, Bowie, Maryland |
Authorized Official Name and Position | Jennifer Hernandez (BILLING SPECIALIST) |
Authorized Official Contact | 9809899487 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Daydream Sunshine Initiative 4000 Mitchellville Rd Ste A404 Bowie MD 20716-3137 Ph: (301) 262-0400 | Daydream Sunshine Initiative 4000 Mitchellville Rd Ste A406 Bowie MD 20716-3139 Ph: (301) 262-0400 |
NPI Number | 1205435328 |
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Provider Enumeration Date | 10/20/2020 |
Last Update Date | 03/03/2021 |
Medicare PECOS PAC ID | 9638562523 |
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Medicare Enrollment ID | O20220217002191 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205435328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Africa Alvarez Mcleod |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1033116603 PECOS PAC ID: 4284792490 Enrollment ID: I20221116000804 |
Provider Name | Dominique Guillaume |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780318014 PECOS PAC ID: 5193193134 Enrollment ID: I20221122002109 |
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