| Nabr Medical Group Pllc | |
|
4210 Valley Ridge Blvd Ste 131 Ponte Vedra FL 32081-5183 | |
| (866) 687-6227 | |
| (866) 687-6227 |
| Full Name | Nabr Medical Group Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4210 Valley Ridge Blvd Ste 131, Ponte Vedra, Florida |
| Authorized Official Name and Position | Marc Arenas (OWNER) |
| Authorized Official Contact | 8666876227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nabr Medical Group Pllc 4210 Valley Ridge Blvd Ste 131 Ponte Vedra FL 32081-5183 Ph: (866) 687-6227 | Nabr Medical Group Pllc 4210 Valley Ridge Blvd Ste 131 Ponte Vedra FL 32081-5183 Ph: (866) 687-6227 |
| NPI Number | 1093469280 |
|---|---|
| Provider Enumeration Date | 02/07/2022 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 7911394374 |
|---|---|
| Medicare Enrollment ID | O20220503002916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093469280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Alfonso David Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097240 PECOS PAC ID: 9638422157 Enrollment ID: I20200701001988 |
| Provider Name | Marc Arenas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871908970 PECOS PAC ID: 0547480840 Enrollment ID: I20220503002936 |
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