| Go Medical Clinic Llc | |
|
2145 Rensselaer Dr Wesley Chapel FL 33543-6847 | |
| (813) 549-2940 | |
| (813) 549-2942 |
| Full Name | Go Medical Clinic Llc |
|---|---|
| Speciality | General Practice |
| Location | 2145 Rensselaer Dr, Wesley Chapel, Florida |
| Authorized Official Name and Position | Al Berry (MANAGER) |
| Authorized Official Contact | 4699154211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Go Medical Clinic Llc 6579 Gunn Hwy Tampa FL 33625-4021 Ph: (813) 549-2940 | Go Medical Clinic Llc 2145 Rensselaer Dr Wesley Chapel FL 33543-6847 Ph: (813) 549-2940 |
| NPI Number | 1386426484 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 07/29/2024 |
| Medicare PECOS PAC ID | 1759733348 |
|---|---|
| Medicare Enrollment ID | O20240118004633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386426484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gilbert Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417326992 PECOS PAC ID: 3375875511 Enrollment ID: I20191021003374 |
| Provider Name | George Manuel Layton |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1134796691 PECOS PAC ID: 7719380385 Enrollment ID: I20210721000706 |
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