| Io Medical, Pllc | |
|
320 N Edinburgh Dr Ste B Winter Park FL 32792-4157 | |
| (407) 951-5348 | |
| (321) 972-5967 |
| Full Name | Io Medical, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 320 N Edinburgh Dr Ste B, Winter Park, Florida |
| Authorized Official Name and Position | Raquel Michel (OWNER) |
| Authorized Official Contact | 4079515348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Io Medical, Pllc 320 N Edinburgh Dr Ste B Winter Park FL 32792-4157 Ph: (407) 951-5348 | Io Medical, Pllc 320 N Edinburgh Dr Ste B Winter Park FL 32792-4157 Ph: (407) 951-5348 |
| NPI Number | 1104475466 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 03/16/2023 |
| Medicare PECOS PAC ID | 0446662233 |
|---|---|
| Medicare Enrollment ID | O20201221000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104475466 | NPI | - | NPPES |
| 005452900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dioben Augusto Aquino De La Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467721811 PECOS PAC ID: 0547411027 Enrollment ID: I20121109000116 |
| Provider Name | Raquel Alexandra Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033488481 PECOS PAC ID: 0749431930 Enrollment ID: I20121116000252 |
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