| Orange Doc Family Medicine,pllc | |
|
835 7th St Suite 5 Clermont FL 34711-2190 | |
| (305) 804-5575 | |
| Not Available |
| Full Name | Orange Doc Family Medicine,pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 835 7th St, Clermont, Florida |
| Authorized Official Name and Position | Adolfo Enrique Teran (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3058045575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Doc Family Medicine,pllc Po Box 120325 Clermont FL 34712-0325 Ph: () - | Orange Doc Family Medicine,pllc 835 7th St Suite 5 Clermont FL 34711-2190 Ph: (305) 804-5575 |
| NPI Number | 1316226657 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Medicare PECOS PAC ID | 5597938647 |
|---|---|
| Medicare Enrollment ID | O20111104000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316226657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Adlofo E Teran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699892422 PECOS PAC ID: 9234222860 Enrollment ID: I20070912000409 |
| Provider Name | Ardiana M Teran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154614089 PECOS PAC ID: 2668645714 Enrollment ID: I20111104000605 |
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