| Dr J S House Calls Llc | |
|
160 Leeward Ct Marco Island FL 34145-4111 | |
| (313) 505-5877 | |
| Not Available |
| Full Name | Dr J S House Calls Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 160 Leeward Ct, Marco Island, Florida |
| Authorized Official Name and Position | James Joseph Faremouth (OPERATING MEMBER) |
| Authorized Official Contact | 3135055877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr J S House Calls Llc 3823 Tamiami Trl E Naples FL 34112-6224 Ph: (313) 505-5877 | Dr J S House Calls Llc 160 Leeward Ct Marco Island FL 34145-4111 Ph: (313) 505-5877 |
| NPI Number | 1215333596 |
|---|---|
| Provider Enumeration Date | 11/13/2014 |
| Last Update Date | 11/17/2014 |
| Medicare PECOS PAC ID | 1052673498 |
|---|---|
| Medicare Enrollment ID | O20180322000903 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215333596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9581 (Florida) | Primary |
| Provider Name | James Joseph Faremouth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124056015 PECOS PAC ID: 6002717907 Enrollment ID: I20080304000671 |
| Provider Name | Margarita Brodskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609500974 PECOS PAC ID: 3072909787 Enrollment ID: I20220829001187 |
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