| Florida Primary Care And Sports Medicine, Inc. | |
|
140 Pinnacles Dr Palm Coast FL 32164-2322 | |
| (386) 597-2829 | |
| (386) 313-1923 |
| Full Name | Florida Primary Care And Sports Medicine, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 Pinnacles Dr, Palm Coast, Florida |
| Authorized Official Name and Position | Ann Shaw (ADMINISTRATOR) |
| Authorized Official Contact | 3864476615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Primary Care And Sports Medicine, Inc. 6 Office Park Dr Palm Coast FL 32137-3808 Ph: (386) 447-6615 | Florida Primary Care And Sports Medicine, Inc. 140 Pinnacles Dr Palm Coast FL 32164-2322 Ph: (386) 597-2829 |
| NPI Number | 1548819741 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 12/10/2019 |
| Medicare PECOS PAC ID | 3476989641 |
|---|---|
| Medicare Enrollment ID | O20200206001036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548819741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Brian T Bogdanowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265751267 PECOS PAC ID: 1951560465 Enrollment ID: I20120301000785 |
| Provider Name | Natalie A Ingerski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609522333 PECOS PAC ID: 2668868639 Enrollment ID: I20220331001800 |
Md Transformations Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Cypress Point Pkwy Ste B1, Palm Coast, FL 32164 Phone: 386-283-5668 Fax: 386-283-5670 | |
Medical Specialists Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4869 Palm Coast Pkwy Nw, Suite 2, Palm Coast, FL 32137 Phone: 386-445-2003 | |
Coastal Family Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Hospital Dr, Suite 280, Palm Coast, FL 32164 Phone: 386-437-4711 | |
Coastal Healthcare Partners, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Leanni Way, Suite D1, Palm Coast, FL 32137 Phone: 386-283-5997 Fax: 386-283-5652 | |
Solution 1 Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Utility Dr Ste 2f, Palm Coast, FL 32137 Phone: 386-359-7838 | |
Ardent Family Care Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 84 Pinnacles Dr Ste 200, Palm Coast, FL 32164 Phone: 386-439-9777 Fax: 386-206-0015 | |
Chandler Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Pine Lakes Pkwy N Ste 3, Palm Coast, FL 32137 Phone: 386-264-6036 Fax: 386-264-6037 |