Our Family Doctor Clinic Pa | |
27348 Cashford Cir Wesley Chapel FL 33543-8198 | |
(813) 907-7680 | |
(813) 907-2454 |
Full Name | Our Family Doctor Clinic Pa |
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Speciality | Clinic/Center |
Location | 27348 Cashford Cir, Wesley Chapel, Florida |
Authorized Official Name and Position | Mona Saleh Boghdadi (PRESIDENT) |
Authorized Official Contact | 8139077680 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Our Family Doctor Clinic Pa Po Box 48315 Tampa FL 33647-0120 Ph: (813) 907-7680 | Our Family Doctor Clinic Pa 27348 Cashford Cir Wesley Chapel FL 33543-8198 Ph: (813) 907-7680 |
NPI Number | 1154548014 |
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Provider Enumeration Date | 04/19/2007 |
Last Update Date | 01/10/2008 |
Medicare PECOS PAC ID | 1557451804 |
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Medicare Enrollment ID | O20071226000399 |
Identifier | Type | State | Issuer |
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1154548014 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Mona S Boghdadi |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891912754 PECOS PAC ID: 8426148222 Enrollment ID: I20071217000755 |
Provider Name | Deborah Louise Oakes-monaghan |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447363650 PECOS PAC ID: 5799110250 Enrollment ID: I20200110002399 |
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