| Lemon Bay Physicians, P.a. | |
|
1885 Englewood Rd Englewood FL 34223-1822 | |
| (941) 475-8291 | |
| (941) 473-3609 |
| Full Name | Lemon Bay Physicians, P.a. |
|---|---|
| Speciality | General Practice |
| Location | 1885 Englewood Rd, Englewood, Florida |
| Authorized Official Name and Position | Stephen Logan (PRESIDENT) |
| Authorized Official Contact | 9414758291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lemon Bay Physicians, P.a. 1885 Englewood Rd Englewood FL 34223-1822 Ph: (941) 475-8291 | Lemon Bay Physicians, P.a. 1885 Englewood Rd Englewood FL 34223-1822 Ph: (941) 475-8291 |
| NPI Number | 1275570517 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911946462 |
|---|---|
| Medicare Enrollment ID | O20050426000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275570517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Om Dutt Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497798342 PECOS PAC ID: 6103865662 Enrollment ID: I20100824000211 |
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