| Midland Florida Infectious Diseases Specialists Pl | |
|
955 Town Center Dr Suite 100 Orange City FL 32763-8255 | |
| (386) 228-0661 | |
| (386) 228-0662 |
| Full Name | Midland Florida Infectious Diseases Specialists Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 955 Town Center Dr, Orange City, Florida |
| Authorized Official Name and Position | Godson I Oguchi (OWNER) |
| Authorized Official Contact | 3862280661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midland Florida Infectious Diseases Specialists Pl Po Box 471027 Lake Monroe FL 32747-1027 Ph: (386) 228-0661 | Midland Florida Infectious Diseases Specialists Pl 955 Town Center Dr Suite 100 Orange City FL 32763-8255 Ph: (386) 228-0661 |
| NPI Number | 1720247869 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 08/11/2010 |
| Medicare PECOS PAC ID | 4880756436 |
|---|---|
| Medicare Enrollment ID | O20081216000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720247869 | NPI | - | NPPES |
| 000414800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME89341 (Florida) | Primary |
| Provider Name | Godson I Oguchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245200906 PECOS PAC ID: 9436134822 Enrollment ID: I20040621000838 |
Primary Care In Your Home Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 W Minnesota Ave, Orange City, FL 32763 Phone: 386-316-5439 | |
Genesis Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1133 Saxon Blvd, Orange City, FL 32763 Phone: 386-228-9700 | |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2565 Enterprise Rd Ste 300, Orange City, FL 32763 Phone: 386-201-9100 | |
Mediwell Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 921 Town Center Dr, Orange City, FL 32763 Phone: 646-346-4709 | |
Gastroenterology And Liver Diseases Of Central Florida Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2541 S Volusia Ave Ste 300, Orange City, FL 32763 Phone: 386-218-6893 Fax: 386-218-6895 | |
Longleaf Pediatrics Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Birch Ave, Orange City, FL 32763 Phone: 386-532-0800 Fax: 386-532-7005 | |
Ellison Eyecare Ltd. Co Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1039 Harley Strickland Blvd, Orange City, FL 32763 Phone: 386-774-0044 |