| Faith In Home Pllc | |
|
2401 Forest Dr Inverness FL 34453-3720 | |
| (352) 344-3777 | |
| (352) 344-2546 |
| Full Name | Faith In Home Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2401 Forest Dr, Inverness, Florida |
| Authorized Official Name and Position | Joshua Summers (AMBR) |
| Authorized Official Contact | 3523443777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith In Home Pllc 2401 Forest Dr Inverness FL 34453-3720 Ph: (352) 344-3777 | Faith In Home Pllc 2401 Forest Dr Inverness FL 34453-3720 Ph: (352) 344-3777 |
| NPI Number | 1912538646 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 02/03/2020 |
| Medicare PECOS PAC ID | 9638508419 |
|---|---|
| Medicare Enrollment ID | O20200330001799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912538646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Joshua A Summers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619954328 PECOS PAC ID: 3779550736 Enrollment ID: I20040910000649 |
| Provider Name | Apryl Hawthorne Moss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831671643 PECOS PAC ID: 6608129085 Enrollment ID: I20181101001341 |
| Provider Name | Jilann M Lietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225700628 PECOS PAC ID: 4587052642 Enrollment ID: I20211022002023 |
| Provider Name | Courtney A Riesel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215683487 PECOS PAC ID: 9739576810 Enrollment ID: I20220419001941 |
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Citrus Gastroenterology Mgt Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3653 E Forest Dr, Inverness, FL 34453 Phone: 352-344-8080 Fax: 352-344-0631 | |
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