| Icmd Pa | |
|
10770 Se 173rd St Summerfield FL 34491-6851 | |
| (352) 455-2026 | |
| (352) 748-2700 |
| Full Name | Icmd Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 10770 Se 173rd St, Summerfield, Florida |
| Authorized Official Name and Position | Fariborz Delbakhsh (OWNER, PRESIDENT) |
| Authorized Official Contact | 3524552026 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icmd Pa 10770 Se 173rd St Summerfield FL 34491-6851 Ph: (352) 455-2026 | Icmd Pa 10770 Se 173rd St Summerfield FL 34491-6851 Ph: (352) 455-2026 |
| NPI Number | 1962091520 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 01/18/2021 |
| Medicare PECOS PAC ID | 0143638478 |
|---|---|
| Medicare Enrollment ID | O20210426001495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962091520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Fariborz Delbakhsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548299712 PECOS PAC ID: 2466425723 Enrollment ID: I20040816000288 |
| Provider Name | Derrick J Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104980812 PECOS PAC ID: 9133027055 Enrollment ID: I20080625000375 |
| Provider Name | Jocelyn C Eslinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083159107 PECOS PAC ID: 6305102039 Enrollment ID: I20180131003016 |
| Provider Name | Fariborz Delbakhsh |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1548299712 PECOS PAC ID: 2466425723 Enrollment ID: I20210426001577 |
Kmed Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15151 S Us Highway 441 Ste 300, Summerfield, FL 34491 Phone: 352-480-4010 | |
Santos Primary Care Medical Clinics, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17820 Se 109th Ave Ste 108, Summerfield, FL 34491 Phone: 352-448-6469 Fax: 352-504-0901 | |
My Better Health And Wellness Co. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11296 Se Highway 42, Summerfield, FL 34491 Phone: 352-391-7212 | |
Mid-florida Primary Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17809 Se 109th Ave, Mid-florida Primary Care Pa, Summerfield, FL 34491 Phone: 352-307-4200 Fax: 352-307-2520 | |
Summerfield Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10900 Se 174th Place Rd, Summerfield, FL 34491 Phone: 813-269-6426 Fax: 813-342-5261 | |
Heart Doctors Of Ocala Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10435 Se 170th Pl, Summerfield, FL 34491 Phone: 352-347-8063 Fax: 352-347-6187 | |
Perspectives Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9425 Se Highway 42, Summerfield, FL 34491 Phone: 352-347-6272 Fax: 928-708-9620 |