| Florida Premier Medical Care Pa | |
|
675 Harvard St Brooksville FL 34601-2823 | |
| (352) 544-0610 | |
| (352) 544-0819 |
| Full Name | Florida Premier Medical Care Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 675 Harvard St, Brooksville, Florida |
| Authorized Official Name and Position | Luis Jorge Contreras (OWNER) |
| Authorized Official Contact | 3525440619 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Premier Medical Care Pa 675 Harvard Street Brooksville FL 34601 Ph: (352) 544-0618 | Florida Premier Medical Care Pa 675 Harvard St Brooksville FL 34601-2823 Ph: (352) 544-0610 |
| NPI Number | 1770776163 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 08/30/2007 |
| Medicare PECOS PAC ID | 9335220268 |
|---|---|
| Medicare Enrollment ID | O20080117000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770776163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME97854 (Florida) | Primary |
| Provider Name | Luis Jorge Contreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790815496 PECOS PAC ID: 3971697905 Enrollment ID: I20070920000599 |
| Provider Name | Marci Montague |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942858840 PECOS PAC ID: 4082044029 Enrollment ID: I20200415002106 |
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