Internal Medicine Associates | |
13733 Office Park Court Hudson FL 34667 | |
(727) 862-2580 | |
(727) 862-9458 |
Full Name | Internal Medicine Associates |
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Speciality | Internal Medicine |
Location | 13733 Office Park Court, Hudson, Florida |
Authorized Official Name and Position | Radhika Menon (MEDICAL DIRECTOR/PRESIDENT) |
Authorized Official Contact | 7278622580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Internal Medicine Associates 13733 Office Park Court Hudson FL 34667 Ph: (727) 862-2580 | Internal Medicine Associates 13733 Office Park Court Hudson FL 34667 Ph: (727) 862-2580 |
NPI Number | 1770766289 |
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Provider Enumeration Date | 12/07/2007 |
Last Update Date | 02/13/2012 |
Medicare PECOS PAC ID | 8123193893 |
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Medicare Enrollment ID | O20080814000182 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770766289 | NPI | - | NPPES |
256890000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME78480 (Florida) | Primary |
Provider Name | Radhika Menon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1487633640 PECOS PAC ID: 4385719053 Enrollment ID: I20080814000210 |
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