| Dr Medical Care Llc | |
|
10841 Park Dr Riverview FL 33569-5148 | |
| (813) 677-6900 | |
| Not Available |
| Full Name | Dr Medical Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10841 Park Dr, Riverview, Florida |
| Authorized Official Name and Position | Diana Roque (MANAGING PARTNER) |
| Authorized Official Contact | 8136776900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Medical Care Llc 10841 Park Dr Riverview FL 33569-5148 Ph: (813) 355-6521 | Dr Medical Care Llc 10841 Park Dr Riverview FL 33569-5148 Ph: (813) 677-6900 |
| NPI Number | 1851453914 |
|---|---|
| Provider Enumeration Date | 12/15/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 6204908031 |
|---|---|
| Medicare Enrollment ID | O20080710000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851453914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 61135 (Florida) | Primary |
| Provider Name | Diana Roque |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558390484 PECOS PAC ID: 7214835974 Enrollment ID: I20071203000322 |
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