Florida Medical Geriatric Group | |
2220 County Road 210 W Jacksonville FL 32259-4058 | |
(904) 401-1897 | |
(904) 808-7118 |
Full Name | Florida Medical Geriatric Group |
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Speciality | Internal Medicine |
Location | 2220 County Road 210 W, Jacksonville, Florida |
Authorized Official Name and Position | Vorbes Aleger (OWNER) |
Authorized Official Contact | 9044011897 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Florida Medical Geriatric Group 181 Saint Johns Forest Blvd Jacksonville FL 32259-4067 Ph: (904) 401-1897 | Florida Medical Geriatric Group 2220 County Road 210 W Jacksonville FL 32259-4058 Ph: (904) 401-1897 |
NPI Number | 1043756588 |
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Provider Enumeration Date | 01/08/2017 |
Last Update Date | 01/08/2017 |
Medicare PECOS PAC ID | 3577833573 |
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Medicare Enrollment ID | O20170725000894 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043756588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME102175 (Florida) | Primary |
Provider Name | Vorbes Aleger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790944700 PECOS PAC ID: 4284793498 Enrollment ID: I20081103000500 |
Provider Name | Rhode L Jean-aleger |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003148958 PECOS PAC ID: 9830379098 Enrollment ID: I20110207000154 |
Provider Name | Jerleshia Fields |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861853087 PECOS PAC ID: 7810250669 Enrollment ID: I20180410001076 |
Provider Name | Kimberly H Clayton |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447759543 PECOS PAC ID: 1850654195 Enrollment ID: I20180418002752 |
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