| Drhomevisitcomllc | |
|
745 Orienta Ave Ste 1191 Altamonte Springs FL 32701-5619 | |
| (407) 782-3702 | |
| Not Available |
| Full Name | Drhomevisitcomllc |
|---|---|
| Speciality | Family Medicine |
| Location | 745 Orienta Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Stephen Nimbargi (OWNER) |
| Authorized Official Contact | 4077823702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drhomevisitcomllc Po Box 150038 Altamonte Springs FL 32715-0038 Ph: () - | Drhomevisitcomllc 745 Orienta Ave Ste 1191 Altamonte Springs FL 32701-5619 Ph: (407) 782-3702 |
| NPI Number | 1578830170 |
|---|---|
| Provider Enumeration Date | 11/27/2011 |
| Last Update Date | 05/05/2014 |
| Medicare PECOS PAC ID | 9234397449 |
|---|---|
| Medicare Enrollment ID | O20120220000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578830170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME85807 (Florida) | Primary |
| Provider Name | Stephen P Nimbargi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811955362 PECOS PAC ID: 3375570690 Enrollment ID: I20070314000206 |
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