| Family Practice Of Florida Llc | |
|
1812 Us Highway 19 Holiday FL 34691-5535 | |
| (727) 942-3355 | |
| Not Available |
| Full Name | Family Practice Of Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1812 Us Highway 19, Holiday, Florida |
| Authorized Official Name and Position | Deepa Subramanian (MANAGER) |
| Authorized Official Contact | 2397288637 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of Florida Llc 1812 Us Highway 19 Holiday FL 34691-5535 Ph: () - | Family Practice Of Florida Llc 1812 Us Highway 19 Holiday FL 34691-5535 Ph: (727) 942-3355 |
| NPI Number | 1710357603 |
|---|---|
| Provider Enumeration Date | 10/05/2015 |
| Last Update Date | 04/15/2016 |
| Medicare PECOS PAC ID | 7214238732 |
|---|---|
| Medicare Enrollment ID | O20151229000018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710357603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Deepa Subramanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588744429 PECOS PAC ID: 2466596002 Enrollment ID: I20100219000294 |
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