| None | |
|
265 Citrus Tower Blvd Ste 206 Clermont FL 34711-1908 | |
| (323) 434-1070 | |
| (310) 693-8082 |
| Full Name | None |
|---|---|
| Speciality | Clinic/Center |
| Location | 265 Citrus Tower Blvd Ste 206, Clermont, Florida |
| Authorized Official Name and Position | Anthony C Dike (PRESIDENT) |
| Authorized Official Contact | 3234344626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| None 4127 W 62nd St Los Angeles CA 90043-3612 Ph: (323) 434-4626 | None 265 Citrus Tower Blvd Ste 206 Clermont FL 34711-1908 Ph: (323) 434-1070 |
| NPI Number | 1558664938 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 01/06/2022 |
| Medicare PECOS PAC ID | 1052591591 |
|---|---|
| Medicare Enrollment ID | O20111010000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558664938 | NPI | - | NPPES |
| ME110756 | Other | FL | FLORIDA HEALTH DEPARTMENT-DIVISION OF MEDICAL QUALITY ASSURANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | ME110756 (Florida) | Primary |
| Provider Name | Anthony Dike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003858481 PECOS PAC ID: 8527051127 Enrollment ID: I20111006000630 |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-404-8108 Fax: 352-404-8647 | |
Florida Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Citrus Tower Blvd, Suite 206, Clermont, FL 34711 Phone: 352-242-9600 Fax: 352-242-9605 | |
Compassionate Health Of Clermont Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9350 Us Highway 192 Ste 104, Clermont, FL 34714 Phone: 863-256-5206 Fax: 863-913-0534 | |
Mary Rose Boehm Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 E Highland Ave, Suite #2, Clermont, FL 34711 Phone: 352-242-1430 Fax: 352-242-1452 | |
South Lake Primary Care P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1503 Sunrise Plaza Dr, Clermont, FL 34714 Phone: 352-243-3800 Fax: 352-243-3804 | |
Osteoporosis And Arthritis Advanced Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3721 S Hwy 27 Ste B, Clermont, FL 34711 Phone: 407-355-7759 Fax: 407-355-4987 | |
Clermont Cardiac Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 E. State Road 50, Suite A, Clermont, FL 34711 Phone: 352-243-3517 |