| Family Medicine Of Bay Hill Inc | |
|
7380 W Sand Lake Rd Ste 500 Orlando FL 32819-5257 | |
| (407) 352-0300 | |
| (407) 352-0340 |
| Full Name | Family Medicine Of Bay Hill Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 7380 W Sand Lake Rd Ste 500, Orlando, Florida |
| Authorized Official Name and Position | Jeffrey Stewart Peele (OWNER) |
| Authorized Official Contact | 4073520300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Bay Hill Inc 6068 Apopka Vineland Road Suite 9 Orlando FL 32819-4449 Ph: (407) 352-0300 | Family Medicine Of Bay Hill Inc 7380 W Sand Lake Rd Ste 500 Orlando FL 32819-5257 Ph: (407) 352-0300 |
| NPI Number | 1215118542 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 10/14/2019 |
| Medicare PECOS PAC ID | 1951355098 |
|---|---|
| Medicare Enrollment ID | O20050310000857 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215118542 | NPI | - | NPPES |
| 43697 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Peele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396774758 PECOS PAC ID: 4385619998 Enrollment ID: I20040827000579 |
| Provider Name | Challis Grimm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659655074 PECOS PAC ID: 7810125614 Enrollment ID: I20140123001562 |
| Provider Name | Chani S Morman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295133353 PECOS PAC ID: 5597083279 Enrollment ID: I20150408002180 |
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