| Good Health Physicians, Llc | |
|
1501 1st St S Winter Haven FL 33880-4307 | |
| (800) 937-4616 | |
| (270) 904-4236 |
| Full Name | Good Health Physicians, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 1st St S, Winter Haven, Florida |
| Authorized Official Name and Position | Shoba R Sama (MD) |
| Authorized Official Contact | 3479332430 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Health Physicians, Llc 1501 1st St S Winter Haven FL 33880-4307 Ph: (800) 937-4616 | Good Health Physicians, Llc 1501 1st St S Winter Haven FL 33880-4307 Ph: (800) 937-4616 |
| NPI Number | 1245572908 |
|---|---|
| Provider Enumeration Date | 03/20/2013 |
| Last Update Date | 03/20/2013 |
| Medicare PECOS PAC ID | 3476791930 |
|---|---|
| Medicare Enrollment ID | O20130523000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245572908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME108394 (Florida) | Primary |
| Provider Name | Shoba R Sama |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952601643 PECOS PAC ID: 6800074832 Enrollment ID: I20110622000484 |
| Provider Name | Jennifer B Parkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801429667 PECOS PAC ID: 3476973991 Enrollment ID: I20201021001698 |
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