| Paul Mcturk Llc | |
|
3817 Scarborough Ct Clermont FL 34711-6982 | |
| (630) 280-9701 | |
| (352) 536-8141 |
| Full Name | Paul Mcturk Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3817 Scarborough Ct, Clermont, Florida |
| Authorized Official Name and Position | Paul T Mcturk (OWNER) |
| Authorized Official Contact | 6302809701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Mcturk Llc 3817 Scarborough Ct Clermont FL 34711-6982 Ph: (630) 280-9701 | Paul Mcturk Llc 3817 Scarborough Ct Clermont FL 34711-6982 Ph: (630) 280-9701 |
| NPI Number | 1629681630 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 09/17/2020 |
| Medicare PECOS PAC ID | 2466872254 |
|---|---|
| Medicare Enrollment ID | O20201016000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629681630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul T Mcturk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710029582 PECOS PAC ID: 3577504851 Enrollment ID: I20130927000079 |
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