| Incare Llc | |
|
11922 Boyette Rd Riverview FL 33569-5601 | |
| (813) 553-3330 | |
| Not Available |
| Full Name | Incare Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11922 Boyette Rd, Riverview, Florida |
| Authorized Official Name and Position | Pramjeet Ahluwalia (OWNER) |
| Authorized Official Contact | 8135533330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Incare Llc 11922 Boyette Rd Riverview FL 33569-5601 Ph: (813) 553-3330 | Incare Llc 11922 Boyette Rd Riverview FL 33569-5601 Ph: (813) 553-3330 |
| NPI Number | 1376009605 |
|---|---|
| Provider Enumeration Date | 02/12/2019 |
| Last Update Date | 04/22/2024 |
| Medicare PECOS PAC ID | 2365791985 |
|---|---|
| Medicare Enrollment ID | O20190409001412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376009605 | NPI | - | NPPES |
| ME121721 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Taha Dias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013089028 PECOS PAC ID: 5597866293 Enrollment ID: I20070725000305 |
| Provider Name | Pramjeet Ahluwalia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619237948 PECOS PAC ID: 6406160019 Enrollment ID: I20150727001705 |
| Provider Name | Teshy V John |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508153487 PECOS PAC ID: 2466755848 Enrollment ID: I20160119000889 |
| Provider Name | Naveen Paddu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891126140 PECOS PAC ID: 7810280906 Enrollment ID: I20170622000047 |
| Provider Name | Deborah Nicasio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801422969 PECOS PAC ID: 6800215534 Enrollment ID: I20200930001523 |
| Provider Name | Christy Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649041823 PECOS PAC ID: 2264885441 Enrollment ID: I20240124004013 |
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