| Eloisa G. Dimayuga, Md Pa | |
|
303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 | |
| (386) 451-5940 | |
| Not Available |
| Full Name | Eloisa G. Dimayuga, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 303 N Clyde Morris Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Eloisa G Dimayuga (PRESIDENT) |
| Authorized Official Contact | 3864515940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eloisa G. Dimayuga, Md Pa 226 N Nova Rd Ste 320 Ormond Beach FL 32174-5124 Ph: (386) 451-5940 | Eloisa G. Dimayuga, Md Pa 303 N Clyde Morris Blvd Daytona Beach FL 32114-2709 Ph: (386) 451-5940 |
| NPI Number | 1487832770 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 11/28/2017 |
| Medicare PECOS PAC ID | 3577580935 |
|---|---|
| Medicare Enrollment ID | O20051026000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487832770 | NPI | - | NPPES |
| 40553 | Other | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Eloisa G Dimayuga |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417923889 PECOS PAC ID: 4082631445 Enrollment ID: I20120329000352 |
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