| Opticare Medicine, Pllc | |
|
9400 Turkey Lake Rd Orlando FL 32819-8001 | |
| (352) 409-3680 | |
| (352) 483-7499 |
| Full Name | Opticare Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9400 Turkey Lake Rd, Orlando, Florida |
| Authorized Official Name and Position | Pamala Marion Roy (BUSINES MANAGER) |
| Authorized Official Contact | 3524093680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Opticare Medicine, Pllc Po Box3349 Windermere FL 34786-3349 Ph: (352) 409-3680 | Opticare Medicine, Pllc 9400 Turkey Lake Rd Orlando FL 32819-8001 Ph: (352) 409-3680 |
| NPI Number | 1982101572 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 04/10/2018 |
| Medicare PECOS PAC ID | 3476817750 |
|---|---|
| Medicare Enrollment ID | O20180515000193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982101572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 13607 (Florida) | Primary |
| Provider Name | Dung D Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154547776 PECOS PAC ID: 4486862919 Enrollment ID: I20180515000494 |
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