| Nasg Care, Llc | |
|
800 Prudential Dr Jacksonville FL 32207-8202 | |
| (904) 625-8365 | |
| Not Available |
| Full Name | Nasg Care, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Prudential Dr, Jacksonville, Florida |
| Authorized Official Name and Position | Gasim Elshazali (PHYSICIAN) |
| Authorized Official Contact | 9046258365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nasg Care, Llc 11744 Glacier Bay Dr Jacksonville FL 32256-2988 Ph: (904) 625-8365 | Nasg Care, Llc 800 Prudential Dr Jacksonville FL 32207-8202 Ph: (904) 625-8365 |
| NPI Number | 1164767737 |
|---|---|
| Provider Enumeration Date | 12/07/2012 |
| Last Update Date | 05/19/2014 |
| Medicare PECOS PAC ID | 2961655220 |
|---|---|
| Medicare Enrollment ID | O20130117000166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164767737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gasim Elshazali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922128339 PECOS PAC ID: 3274661889 Enrollment ID: I20100430000741 |
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