Neocity Walk In Medical Care, Llc | |
1310 N Main St Ste 105 Kissimmee FL 34744-4244 | |
(407) 530-4446 | |
(407) 530-4447 |
Full Name | Neocity Walk In Medical Care, Llc |
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Speciality | Family Medicine |
Location | 1310 N Main St Ste 105, Kissimmee, Florida |
Authorized Official Name and Position | Inayat Khan (CEO/OWNER) |
Authorized Official Contact | 4073618221 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neocity Walk In Medical Care, Llc Po Box 421743 Kissimmee FL 34742-1743 Ph: (407) 530-4446 | Neocity Walk In Medical Care, Llc 1310 N Main St Ste 105 Kissimmee FL 34744-4244 Ph: (407) 530-4446 |
NPI Number | 1174306799 |
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Provider Enumeration Date | 08/16/2023 |
Last Update Date | 08/26/2023 |
Medicare PECOS PAC ID | 0345690665 |
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Medicare Enrollment ID | O20231229000078 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174306799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Inayat Khan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1952745671 PECOS PAC ID: 0749584258 Enrollment ID: I20160815002949 |
Provider Name | Rahila Chaudhry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235485897 PECOS PAC ID: 7810117827 Enrollment ID: I20160816002471 |
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