Hayath Javeed Md Pa | |
4904 Moog Rd Holiday FL 34690-1857 | |
(172) 794-4505 | |
(172) 794-2048 |
Full Name | Hayath Javeed Md Pa |
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Speciality | Clinic/Center |
Location | 4904 Moog Rd, Holiday, Florida |
Authorized Official Name and Position | Hayath Javeed (PRESIDENT) |
Authorized Official Contact | 17279445055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hayath Javeed Md Pa 4904 Moog Rd Holiday FL 34690-1857 Ph: (172) 794-4505 | Hayath Javeed Md Pa 4904 Moog Rd Holiday FL 34690-1857 Ph: (172) 794-4505 |
NPI Number | 1558510602 |
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Provider Enumeration Date | 09/13/2008 |
Last Update Date | 09/13/2008 |
Medicare PECOS PAC ID | 6507999133 |
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Medicare Enrollment ID | O20100803001286 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558510602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | ME 71161 (Florida) | Primary |
Provider Name | Hayath Javeed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1295738938 PECOS PAC ID: 6204969835 Enrollment ID: I20100803001327 |
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