| Health First Privia Medical Group, Llc | |
|
140 6th Ave Indialantic FL 32903-3204 | |
| (321) 312-3501 | |
| Not Available |
| Full Name | Health First Privia Medical Group, Llc |
|---|---|
| Speciality | General Practice |
| Location | 140 6th Ave, Indialantic, Florida |
| Authorized Official Name and Position | Lora Morse (VP PROFESSIONAL FEE SERVICES) |
| Authorized Official Contact | 3214346116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Health First Privia Medical Group, Llc 3300 S Fiske Blvd Rockledge FL 32955-4306 Ph: (321) 434-5055 | Health First Privia Medical Group, Llc 140 6th Ave Indialantic FL 32903-3204 Ph: (321) 312-3501 |
| NPI Number | 1700649043 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 05/28/2024 |
| Medicare PECOS PAC ID | 3173965993 |
|---|---|
| Medicare Enrollment ID | O20240524002147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700649043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Prakash V Reddy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528043163 PECOS PAC ID: 5395781207 Enrollment ID: I20050630000749 |
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