| Jan A Becker Md Pa | |
|
727 Vassar St Orlando FL 32804-4920 | |
| (407) 849-0330 | |
| (407) 849-0351 |
| Full Name | Jan A Becker Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 727 Vassar St, Orlando, Florida |
| Authorized Official Name and Position | Jan Allen Becker (OWNER) |
| Authorized Official Contact | 4078490330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan A Becker Md Pa 727 Vassar St Orlando FL 32804-4920 Ph: (407) 849-0330 | Jan A Becker Md Pa 727 Vassar St Orlando FL 32804-4920 Ph: (407) 849-0330 |
| NPI Number | 1881994515 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 10/28/2010 |
| Medicare PECOS PAC ID | 8729273172 |
|---|---|
| Medicare Enrollment ID | O20101110001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881994515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0035309 (Florida) | Primary |
| Provider Name | Jan Allen Becker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225014954 PECOS PAC ID: 1355536715 Enrollment ID: I20101110001243 |
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