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1425 S Us 301 Sumterville FL 33585-5141 | |
| (352) 237-6162 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Private Vehicle |
| Location | 1425 S Us 301, Sumterville, Florida |
| Authorized Official Name and Position | Thomas Chase (CEO) |
| Authorized Official Contact | 3527935900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1425 S Us 301 Sumterville FL 33585-5141 Ph: (352) 237-6162 | 1425 S Us 301 Sumterville FL 33585-5141 Ph: (352) 237-6162 |
| NPI Number | 1033560925 |
|---|---|
| Provider Enumeration Date | 06/22/2016 |
| Last Update Date | 08/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033560925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Primary |
Sumter Pediatrics Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 S Us 301 Ste B, Sumterville, FL 33585 Phone: 352-569-4980 | |