| Midtown Clinic, Pa | |
|
5821 Gall Blvd Zephyrhills FL 33542-3455 | |
| (813) 788-5524 | |
| (813) 780-6472 |
| Full Name | Midtown Clinic, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 5821 Gall Blvd, Zephyrhills, Florida |
| Authorized Official Name and Position | Abdul Ghani (OWNER) |
| Authorized Official Contact | 8137885524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Clinic, Pa 5821 Gall Blvd Zephyrhills FL 33542-3455 Ph: (813) 788-5524 | Midtown Clinic, Pa 5821 Gall Blvd Zephyrhills FL 33542-3455 Ph: (813) 788-5524 |
| NPI Number | 1275677254 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 05/06/2011 |
| Medicare PECOS PAC ID | 1951569607 |
|---|---|
| Medicare Enrollment ID | O20120227000319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275677254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | ME0026500 (Florida) | Primary |
| Provider Name | Abdul Ghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699711341 PECOS PAC ID: 2668630310 Enrollment ID: I20120227000342 |
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