| Doctor House Call Llc | |
|
2120 Michigan Ave Kissimmee FL 34744-2927 | |
| (407) 483-8944 | |
| (407) 483-8946 |
| Full Name | Doctor House Call Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 Michigan Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Latchman Hardowar (OWNER) |
| Authorized Official Contact | 4074838944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor House Call Llc 2120 Michigan Ave Kissimmee FL 34744-2927 Ph: () - | Doctor House Call Llc 2120 Michigan Ave Kissimmee FL 34744-2927 Ph: (407) 483-8944 |
| NPI Number | 1639640717 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 12/18/2018 |
| Medicare PECOS PAC ID | 5799027785 |
|---|---|
| Medicare Enrollment ID | O20190423000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639640717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Latchman Hardowar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043279151 PECOS PAC ID: 2668495250 Enrollment ID: I20060110000452 |
| Provider Name | Prashant G Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255489993 PECOS PAC ID: 3476788902 Enrollment ID: I20150706000919 |
| Provider Name | Sharon Jennifer Ebanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912490855 PECOS PAC ID: 8224375522 Enrollment ID: I20190124001754 |
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