| Internal Medicine & Primary Care Of Sebastian Llc | |
|
7955 Bay St Sebastian FL 32958-3282 | |
| (862) 236-0956 | |
| Not Available |
| Full Name | Internal Medicine & Primary Care Of Sebastian Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7955 Bay St, Sebastian, Florida |
| Authorized Official Name and Position | Salma Khan (MANAGER) |
| Authorized Official Contact | 6098517860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine & Primary Care Of Sebastian Llc 14499 Us Highway 1 Sebastian FL 32958-3238 Ph: (862) 236-0956 | Internal Medicine & Primary Care Of Sebastian Llc 7955 Bay St Sebastian FL 32958-3282 Ph: (862) 236-0956 |
| NPI Number | 1134998396 |
|---|---|
| Provider Enumeration Date | 12/28/2023 |
| Last Update Date | 03/07/2024 |
| Medicare PECOS PAC ID | 6800230541 |
|---|---|
| Medicare Enrollment ID | O20240221000978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134998396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edeck Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083839724 PECOS PAC ID: 1254431760 Enrollment ID: I20160620000699 |
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