| Multicare Physicians Psc | |
|
634 Deltona Blvd Deltona FL 32725-8078 | |
| (386) 574-5565 | |
| (386) 574-8567 |
| Full Name | Multicare Physicians Psc |
|---|---|
| Speciality | Family Medicine |
| Location | 634 Deltona Blvd, Deltona, Florida |
| Authorized Official Name and Position | Faisal Tawwab (PRESIDENT) |
| Authorized Official Contact | 3855745565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multicare Physicians Psc Po Box 5668 Deltona FL 32728-5668 Ph: (386) 574-5565 | Multicare Physicians Psc 634 Deltona Blvd Deltona FL 32725-8078 Ph: (386) 574-5565 |
| NPI Number | 1316306871 |
|---|---|
| Provider Enumeration Date | 02/12/2016 |
| Last Update Date | 02/12/2016 |
| Medicare PECOS PAC ID | 7214227669 |
|---|---|
| Medicare Enrollment ID | O20160526001097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316306871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME123545 (Florida) | Primary |
| Provider Name | Juveria Tawwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174781710 PECOS PAC ID: 0749320299 Enrollment ID: I20150311000379 |
| Provider Name | Anam A Tawwab |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851735682 PECOS PAC ID: 0042437253 Enrollment ID: I20171129003144 |
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