Omni Medical Clinic | |
425 S Hunt Club Blvd Suite 2001 Apopka FL 32703-4947 | |
(407) 705-3636 | |
(407) 809-5222 |
Full Name | Omni Medical Clinic |
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Speciality | Internal Medicine |
Location | 425 S Hunt Club Blvd, Apopka, Florida |
Authorized Official Name and Position | Junias Desamour (OWNER/PHYSICIAN) |
Authorized Official Contact | 4077053636 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Omni Medical Clinic 425 S Hunt Club Blvd Suite 2001 Apopka FL 32703-4947 Ph: (407) 705-3636 | Omni Medical Clinic 425 S Hunt Club Blvd Suite 2001 Apopka FL 32703-4947 Ph: (407) 705-3636 |
NPI Number | 1245617026 |
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Provider Enumeration Date | 04/30/2015 |
Last Update Date | 04/30/2015 |
Medicare PECOS PAC ID | 7315251212 |
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Medicare Enrollment ID | O20150806009750 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245617026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME86952 (Florida) | Primary |
Provider Name | Junias Desamour |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609890045 PECOS PAC ID: 5294821583 Enrollment ID: I20071018000034 |
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