| Munroe Medical Provider Pllc | |
|
1995 Bridgewater Dr Lake Mary FL 32746 | |
| (386) 473-9607 | |
| (386) 860-7216 |
| Full Name | Munroe Medical Provider Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1995 Bridgewater Dr, Lake Mary, Florida |
| Authorized Official Name and Position | Bishnu Prakash Verma (PHYSICIAN) |
| Authorized Official Contact | 3864739607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Munroe Medical Provider Pllc 1995 Bridgewater Dr Lake Mary FL 32746-6911 Ph: (386) 473-9607 | Munroe Medical Provider Pllc 1995 Bridgewater Dr Lake Mary FL 32746 Ph: (386) 473-9607 |
| NPI Number | 1588358857 |
|---|---|
| Provider Enumeration Date | 06/08/2023 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 9638539067 |
|---|---|
| Medicare Enrollment ID | O20230718000775 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588358857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bishnu Prakash Verma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720048051 PECOS PAC ID: 8628962594 Enrollment ID: I20040211000664 |
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