| Intelligence Health Group Inc | |
|
1007 E. Fort King Street Ocala FL 34471-2315 | |
| (352) 456-1070 | |
| (352) 608-9583 |
| Full Name | Intelligence Health Group Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1007 E. Fort King Street, Ocala, Florida |
| Authorized Official Name and Position | Yeralin Feliciano Concepcion (BUSINESS DEVELOPMENT DIRECTOR) |
| Authorized Official Contact | 9198853227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intelligence Health Group Inc Po Box 3870 Ocala FL 34478 Ph: () - | Intelligence Health Group Inc 1007 E. Fort King Street Ocala FL 34471-2315 Ph: (352) 456-1070 |
| NPI Number | 1396371886 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 08/05/2020 |
| Medicare PECOS PAC ID | 1658793567 |
|---|---|
| Medicare Enrollment ID | O20200623001993 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396371886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Axel E Martinez Irizarry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689860421 PECOS PAC ID: 6103971353 Enrollment ID: I20161103002134 |
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