Ednem Family Medicine Clinic | |
7148 Curry Ford Rd Ste 100 Orlando FL 32822-5803 | |
(407) 482-2221 | |
(407) 482-2284 |
Full Name | Ednem Family Medicine Clinic |
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Speciality | Family Medicine |
Location | 7148 Curry Ford Rd Ste 100, Orlando, Florida |
Authorized Official Name and Position | Edsel Jeronimo Comenencia (PHYSICIAN) |
Authorized Official Contact | 4074822221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ednem Family Medicine Clinic 7148 Curry Ford Rd Ste 100 Orlando FL 32822-5803 Ph: (407) 482-2221 | Ednem Family Medicine Clinic 7148 Curry Ford Rd Ste 100 Orlando FL 32822-5803 Ph: (407) 482-2221 |
NPI Number | 1386783520 |
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Provider Enumeration Date | 02/05/2007 |
Last Update Date | 12/04/2009 |
Medicare PECOS PAC ID | 9537121512 |
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Medicare Enrollment ID | O20041102000250 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386783520 | NPI | - | NPPES |
266610300 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Florida) | Primary |
Provider Name | Nema Cabangal Oriel-comenencia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184625675 PECOS PAC ID: 0446395511 Enrollment ID: I20100302000179 |
Provider Name | Edsel Jeronimo Comenencia |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942201561 PECOS PAC ID: 5395701296 Enrollment ID: I20100609000151 |
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