| Internal Medicine & Healthy Lifestyle | |
|
9486 Narcoossee Rd Orlando FL 32827-5705 | |
| (407) 476-9066 | |
| Not Available |
| Full Name | Internal Medicine & Healthy Lifestyle |
|---|---|
| Speciality | Clinic/Center |
| Location | 9486 Narcoossee Rd, Orlando, Florida |
| Authorized Official Name and Position | Joel Ramos-tirado (OWNER) |
| Authorized Official Contact | 4074769066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Healthy Lifestyle 11954 Narcoossee Rd Ste 2-187 Orlando FL 32832-6998 Ph: (407) 476-9066 | Internal Medicine & Healthy Lifestyle 9486 Narcoossee Rd Orlando FL 32827-5705 Ph: (407) 476-9066 |
| NPI Number | 1205400090 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 9638578826 |
|---|---|
| Medicare Enrollment ID | O20210519002805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205400090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joel Ramos-tirado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487963450 PECOS PAC ID: 3577872118 Enrollment ID: I20151021001246 |
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