Maria Elena Hernandez Borjas Md Pa | |
364 Chestnut St Clermont FL 34711-3022 | |
(352) 242-4816 | |
(352) 242-4702 |
Full Name | Maria Elena Hernandez Borjas Md Pa |
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Speciality | Family Medicine |
Location | 364 Chestnut St, Clermont, Florida |
Authorized Official Name and Position | Maria Elena Hernandez Borjas (PRESIDENT) |
Authorized Official Contact | 3522424816 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Maria Elena Hernandez Borjas Md Pa Po Box 120373 Clermont FL 34712-0373 Ph: (352) 242-4816 | Maria Elena Hernandez Borjas Md Pa 364 Chestnut St Clermont FL 34711-3022 Ph: (352) 242-4816 |
NPI Number | 1952581647 |
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Provider Enumeration Date | 11/09/2007 |
Last Update Date | 02/14/2008 |
Medicare PECOS PAC ID | 0749366425 |
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Medicare Enrollment ID | O20080320000293 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952581647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME85427 (Florida) | Primary |
Provider Name | Maria E Hernandez |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1750486635 PECOS PAC ID: 6608836127 Enrollment ID: I20041023000007 |
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