| Orlando Tele Clinic Llc | |
|
11954 Narcoossee Rd Suite 2 #167 Orlando FL 32832 | |
| (407) 335-3549 | |
| (866) 366-6603 |
| Full Name | Orlando Tele Clinic Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11954 Narcoossee Rd, Orlando, Florida |
| Authorized Official Name and Position | Arshad Rehman (OWNER) |
| Authorized Official Contact | 3213036457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Tele Clinic Llc 11954 Narcoossee Rd Suite 2 Box 167 Orlando FL 32832 Ph: (407) 335-3549 | Orlando Tele Clinic Llc 11954 Narcoossee Rd Suite 2 #167 Orlando FL 32832 Ph: (407) 335-3549 |
| NPI Number | 1720733520 |
|---|---|
| Provider Enumeration Date | 02/21/2022 |
| Last Update Date | 02/21/2022 |
| Medicare PECOS PAC ID | 8426436866 |
|---|---|
| Medicare Enrollment ID | O20220526000309 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720733520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Arshad Rehman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396845335 PECOS PAC ID: 4587657150 Enrollment ID: I20040407001491 |
| Provider Name | Kimberly M Bertot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861821498 PECOS PAC ID: 2365661774 Enrollment ID: I20140917002111 |
| Provider Name | Devika B Lutchmidat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114416740 PECOS PAC ID: 3779918347 Enrollment ID: I20200109000835 |
| Provider Name | Shirin Mobeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265069652 PECOS PAC ID: 5193148401 Enrollment ID: I20200706000362 |
| Provider Name | Mosammat Israt Jahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831832930 PECOS PAC ID: 5092195339 Enrollment ID: I20220705002548 |
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