Inclusive Care Group | |
7800 66th St N Ste 204 Pinellas Park FL 33781-2101 | |
(727) 753-7787 | |
(833) 471-3023 |
Full Name | Inclusive Care Group |
---|---|
Speciality | Internal Medicine |
Location | 7800 66th St N Ste 204, Pinellas Park, Florida |
Authorized Official Name and Position | Antonio Luis (PHYSICIAN) |
Authorized Official Contact | 7277537787 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Inclusive Care Group 7800 66th St N Ste 204 Pinellas Park FL 33781-2101 Ph: (727) 753-7787 | Inclusive Care Group 7800 66th St N Ste 204 Pinellas Park FL 33781-2101 Ph: (727) 753-7787 |
NPI Number | 1801540190 |
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Provider Enumeration Date | 02/07/2022 |
Last Update Date | 02/08/2024 |
Medicare PECOS PAC ID | 8628434503 |
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Medicare Enrollment ID | O20230518002525 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801540190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Antonio Luis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396971370 PECOS PAC ID: 4981868452 Enrollment ID: I20210806000040 |
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