Internal Medicine Of Central Florida Pa | |
708 Physicians Ct Suite 1 Leesburg FL 34748-7364 | |
(352) 504-0381 | |
(352) 315-1989 |
Full Name | Internal Medicine Of Central Florida Pa |
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Speciality | Internal Medicine |
Location | 708 Physicians Ct, Leesburg, Florida |
Authorized Official Name and Position | Frank J Paiano (OWNER) |
Authorized Official Contact | 3525040381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Internal Medicine Of Central Florida Pa Po Box 493110 Leesburg FL 34749-3110 Ph: (352) 504-0381 | Internal Medicine Of Central Florida Pa 708 Physicians Ct Suite 1 Leesburg FL 34748-7364 Ph: (352) 504-0381 |
NPI Number | 1033390489 |
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Provider Enumeration Date | 11/14/2007 |
Last Update Date | 11/14/2007 |
Medicare PECOS PAC ID | 4981788569 |
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Medicare Enrollment ID | O20080220000464 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033390489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | OS9108 (Florida) | Primary |
Provider Name | Frank Paiano |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588616353 PECOS PAC ID: 1153307418 Enrollment ID: I20040628000173 |
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