| Florida Family Medicine | |
|
2120 Michigan Ave Kissimmee FL 34744-2927 | |
| (407) 483-8944 | |
| (407) 483-8946 |
| Full Name | Florida Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 Michigan Ave, Kissimmee, Florida |
| Authorized Official Name and Position | Latchman Hardowar (PHYSICIAN/MANAGER) |
| Authorized Official Contact | 4075088076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Family Medicine 2120 Michigan Ave Kissimmee FL 34744-2927 Ph: (407) 483-8944 | Florida Family Medicine 2120 Michigan Ave Kissimmee FL 34744-2927 Ph: (407) 483-8944 |
| NPI Number | 1235363375 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 03/24/2022 |
| Medicare PECOS PAC ID | 3274721675 |
|---|---|
| Medicare Enrollment ID | O20101229001011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235363375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME93125 (Florida) | Primary |
| Provider Name | Latchman Hardowar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043279151 PECOS PAC ID: 2668495250 Enrollment ID: I20060110000452 |
| Provider Name | Isabella I Brazhnikova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740478551 PECOS PAC ID: 4183714835 Enrollment ID: I20071218000239 |
| Provider Name | Jean G Barthelemy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295146504 PECOS PAC ID: 6608093810 Enrollment ID: I20140812002341 |
| Provider Name | Prashant G Jani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255489993 PECOS PAC ID: 3476788902 Enrollment ID: I20150706000919 |
| Provider Name | Maria Cherry G Coronel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538597786 PECOS PAC ID: 9537445010 Enrollment ID: I20170418000849 |
| Provider Name | Marcu Macagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164936001 PECOS PAC ID: 1850655267 Enrollment ID: I20180511001784 |
| Provider Name | Nakita Helligar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184114829 PECOS PAC ID: 2567710312 Enrollment ID: I20180809006043 |
| Provider Name | Sharon Jennifer Ebanks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912490855 PECOS PAC ID: 8224375522 Enrollment ID: I20190124001754 |
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