| Mehan Geriatric Care Corp | |
|
8737 Bally Bunion Rd Port St Lucie FL 34986-3086 | |
| (954) 558-4549 | |
| Not Available |
| Full Name | Mehan Geriatric Care Corp |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 8737 Bally Bunion Rd, Port St Lucie, Florida |
| Authorized Official Name and Position | Ravi Mehan (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 9545584549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mehan Geriatric Care Corp 8737 Bally Bunion Rd Port St Lucie FL 34986-3086 Ph: (954) 558-4549 | Mehan Geriatric Care Corp 8737 Bally Bunion Rd Port St Lucie FL 34986-3086 Ph: (954) 558-4549 |
| NPI Number | 1376825554 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376825554 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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