| Gericares Llc | |
|
5344 Spring Hill Dr Spring Hill FL 34606-4562 | |
| (352) 666-0790 | |
| (352) 666-0903 |
| Full Name | Gericares Llc |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 5344 Spring Hill Dr, Spring Hill, Florida |
| Authorized Official Name and Position | Jimmy Edmond (OWNER) |
| Authorized Official Contact | 3526660790 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gericares Llc 5344 Spring Hill Dr Spring Hill FL 34606-4562 Ph: (352) 666-0790 | Gericares Llc 5344 Spring Hill Dr Spring Hill FL 34606-4562 Ph: (352) 666-0790 |
| NPI Number | 1285789511 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285789511 | NPI | - | NPPES |
| 06055 | Other | FL | BLUE CROSS BLUE SHIELD ID |
| 352728686 | Other | FL | TRICARE ID |
| ME81127 | Other | FL | MEDICAL LICENSE NUMBER |
| 1988649 | Other | FL | UNITED HEALTHCARE ID |
| 5589903 | Other | FL | FIRST HEALTH |
| 123192 | Other | FL | HUMANA ID |
| 2795817 00 | Medicaid | FL | |
| 28922 | Other | FL | AVMED ID |
| 125028 | Other | FL | HUMANA GOLD PLUS ID |
| 241506 | Other | FL | WELLCARE ID |
| 00780 | Other | FL | UNIVERSAL ID |
| 7572308 | Other | LA | CIGNA ID |
| 7128124 | Other | FL | AETNA ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | ME81127 (Florida) | Primary |
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