| Embrace Primary Care, Llc | |
|
2101 Medical Park Dr Ste 300 Silver Spring MD 20902-4053 | |
| (301) 802-6493 | |
| (844) 772-9186 |
| Full Name | Embrace Primary Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2101 Medical Park Dr Ste 300, Silver Spring, Maryland |
| Authorized Official Name and Position | Thiago L Gibson (PRESIDENT AND CEO) |
| Authorized Official Contact | 3013674046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Primary Care, Llc 2101 Fieldbrook Ln Mount Airy MD 21771-4055 Ph: (301) 802-6493 | Embrace Primary Care, Llc 2101 Medical Park Dr Ste 300 Silver Spring MD 20902-4053 Ph: (301) 802-6493 |
| NPI Number | 1700311602 |
|---|---|
| Provider Enumeration Date | 04/28/2017 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 3678849841 |
|---|---|
| Medicare Enrollment ID | O20171017000893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700311602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Thiago Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356894596 PECOS PAC ID: 4587930755 Enrollment ID: I20171017000962 |
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