| Elon Health Primary Care Llc | |
|
43378 Highway 27 Ste B Davenport FL 33837-6816 | |
| (407) 205-6996 | |
| (407) 871-3599 |
| Full Name | Elon Health Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 43378 Highway 27 Ste B, Davenport, Florida |
| Authorized Official Name and Position | Sandeep Pandya (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4072056996 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elon Health Primary Care Llc 127 W Fairbanks Ave Ste 447 Winter Park FL 32789-4326 Ph: (407) 205-6996 | Elon Health Primary Care Llc 43378 Highway 27 Ste B Davenport FL 33837-6816 Ph: (407) 205-6996 |
| NPI Number | 1134986441 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 01/24/2025 |
| Medicare PECOS PAC ID | 2062955651 |
|---|---|
| Medicare Enrollment ID | O20240624004389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134986441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sandeep Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023371796 PECOS PAC ID: 9234369331 Enrollment ID: I20161206001437 |
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