| Pensacola Medical Clinic, Llc | |
|
2407 W Cervantes St Pensacola FL 32505-7150 | |
| (518) 867-1551 | |
| Not Available |
| Full Name | Pensacola Medical Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2407 W Cervantes St, Pensacola, Florida |
| Authorized Official Name and Position | Allan Lam Ho (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5188671551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pensacola Medical Clinic, Llc 306 Garfield Dr Pensacola FL 32505-3614 Ph: (518) 867-1551 | Pensacola Medical Clinic, Llc 2407 W Cervantes St Pensacola FL 32505-7150 Ph: (518) 867-1551 |
| NPI Number | 1356762660 |
|---|---|
| Provider Enumeration Date | 01/04/2014 |
| Last Update Date | 01/04/2014 |
| Medicare PECOS PAC ID | 2668601774 |
|---|---|
| Medicare Enrollment ID | O20140213001237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356762660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ACN488 (Florida) | Primary |
| Provider Name | Allan Lam Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760603369 PECOS PAC ID: 9638308745 Enrollment ID: I20140213001310 |
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