| Orlando Covid Test Llc | |
|
3262 Vineland Rd Ste 102 Kissimmee FL 34746-4839 | |
| (877) 837-8407 | |
| Not Available |
| Full Name | Orlando Covid Test Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3262 Vineland Rd Ste 102, Kissimmee, Florida |
| Authorized Official Name and Position | Sandeep Pandya (OWNER) |
| Authorized Official Contact | 8778378407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Covid Test Llc 3262 Vineland Rd Ste 102 Kissimmee FL 34746-4839 Ph: () - | Orlando Covid Test Llc 3262 Vineland Rd Ste 102 Kissimmee FL 34746-4839 Ph: (877) 837-8407 |
| NPI Number | 1679165708 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 05/05/2021 |
| Medicare PECOS PAC ID | 0143636688 |
|---|---|
| Medicare Enrollment ID | O20210309001252 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679165708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Brian Andrew Nobie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518955095 PECOS PAC ID: 1557259942 Enrollment ID: I20040308000783 |
| Provider Name | Leonardo Cisneros |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770570558 PECOS PAC ID: 3072702224 Enrollment ID: I20110104001035 |
| Provider Name | Ernest Page |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831187228 PECOS PAC ID: 9335338599 Enrollment ID: I20110104001154 |
| Provider Name | Ketan Pandya |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245228733 PECOS PAC ID: 8224227491 Enrollment ID: I20110104001194 |
| Provider Name | Sandeep Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023371796 PECOS PAC ID: 9234369331 Enrollment ID: I20161206001437 |
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