| Family Medical Care Of Mount Dora Inc | |
|
17580 Us Highway 441 Mount Dora FL 32757-6711 | |
| (352) 383-8200 | |
| Not Available |
| Full Name | Family Medical Care Of Mount Dora Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 17580 Us Highway 441, Mount Dora, Florida |
| Authorized Official Name and Position | John N Boucher (CEO) |
| Authorized Official Contact | 4078347800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medical Care Of Mount Dora Inc Po Box 1844 Mount Dora FL 32756-1844 Ph: (352) 383-8200 | Family Medical Care Of Mount Dora Inc 17580 Us Highway 441 Mount Dora FL 32757-6711 Ph: (352) 383-8200 |
| NPI Number | 1265844757 |
|---|---|
| Provider Enumeration Date | 06/02/2014 |
| Last Update Date | 01/30/2015 |
| Medicare PECOS PAC ID | 3274859632 |
|---|---|
| Medicare Enrollment ID | O20150302000684 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265844757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HCC10266 (Florida) | Primary |
| Provider Name | Gregory P Samano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205804226 PECOS PAC ID: 5294778072 Enrollment ID: I20050603000071 |
| Provider Name | William F Von Bargen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851335038 PECOS PAC ID: 8325142342 Enrollment ID: I20070402000202 |
| Provider Name | Gina E Hall-ingalls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215983317 PECOS PAC ID: 1153555131 Enrollment ID: I20131004000539 |
Adventhealth Centra Care - Mount Dora Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19015 U.s. Highway 441, Mount Dora, FL 32757 Phone: 352-383-3484 Fax: 352-735-0517 | |
Jerry M Alstott Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8030 Saint James Way, Mount Dora, FL 32757 Phone: 407-908-0064 Fax: 352-383-9319 | |
Mount Dora Family Practice Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18540 Us Highway 441, Mount Dora, FL 32757 Phone: 352-383-7743 Fax: 352-383-9226 | |
Breakthrough Transitions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2110 N Donnelly St Ste 500, Mount Dora, FL 32757 Phone: 321-362-4176 Fax: 321-256-5176 | |
Kathryn Johnson Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4400 N Highway 19a, Suite 4, Mount Dora, FL 32757 Phone: 352-988-4181 | |
Daybreak Pediatric Housecalls, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Northside Dr, Mount Dora, FL 32757 Phone: 352-359-2757 Fax: 866-215-0354 | |
Chinyere Center For Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 131 E 19th Ave, Mount Dora, FL 32757 Phone: 352-735-3396 |