Janivara Umesh Md | |
1350 E Main St Suite C1 Bartow FL 33830-5065 | |
(863) 646-7220 | |
(863) 533-0333 |
Full Name | Janivara Umesh Md |
---|---|
Speciality | Internal Medicine |
Location | 1350 E Main St, Bartow, Florida |
Authorized Official Name and Position | Janivara Umesh (OWNER) |
Authorized Official Contact | 8636467220 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Janivara Umesh Md 1350 E Main St Suite C1 Bartow FL 33830-5065 Ph: (863) 646-7220 | Janivara Umesh Md 1350 E Main St Suite C1 Bartow FL 33830-5065 Ph: (863) 646-7220 |
NPI Number | 1265824064 |
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Provider Enumeration Date | 03/03/2015 |
Last Update Date | 03/03/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265824064 | NPI | - | NPPES |
53709 | Other | FL | FLORIDA BLUE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0041112 (Florida) | Primary |
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