| Extrait Health, Pllc | |
|
437 Wildflower Rd Davenport FL 33837-2646 | |
| (863) 449-8583 | |
| Not Available |
| Full Name | Extrait Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 437 Wildflower Rd, Davenport, Florida |
| Authorized Official Name and Position | Marcu Macagba (OWNER) |
| Authorized Official Contact | 8634498583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Extrait Health, Pllc 437 Wildflower Rd Davenport FL 33837-2646 Ph: (863) 449-8583 | Extrait Health, Pllc 437 Wildflower Rd Davenport FL 33837-2646 Ph: (863) 449-8583 |
| NPI Number | 1427757848 |
|---|---|
| Provider Enumeration Date | 02/24/2023 |
| Last Update Date | 02/24/2023 |
| Medicare PECOS PAC ID | 0941641666 |
|---|---|
| Medicare Enrollment ID | O20240513002585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427757848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Marcu Macagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164936001 PECOS PAC ID: 1850655267 Enrollment ID: I20180511001784 |
Lake Mary Spine & Rehabilitation Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45677 Highway 27, Davenport, FL 33897 Phone: 407-942-3258 Fax: 440-794-2331 | |
Olympia Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2306 North Blvd W Ste C, Davenport, FL 33837 Phone: 863-547-9200 | |
Soni Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 106 Park Place Blvd Ste C, Davenport, FL 33837 Phone: 863-588-4775 Fax: 863-422-7664 | |
Elon Health Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43378 Highway 27 Ste B, Davenport, FL 33837 Phone: 407-205-6996 Fax: 407-871-3599 | |
Davenport Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2502 Sand Mine Rd, Davenport, FL 33897 Phone: 863-420-4077 Fax: 863-420-4087 | |
Alive & Blossom Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Champions Vue Loop Unit 408, Davenport, FL 33897 Phone: 954-394-4793 | |
Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2302 North Blvd., Suite D, Davenport, FL 33837 Phone: 863-422-1400 Fax: 863-419-7935 |