Personal Family Health Care | |
391 Lee Blvd 400 Lehigh Acres FL 33936-4973 | |
(239) 369-2226 | |
(239) 369-5820 |
Full Name | Personal Family Health Care |
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Speciality | Family Medicine |
Location | 391 Lee Blvd, Lehigh Acres, Florida |
Authorized Official Name and Position | Elmer Toro (PRESIDENT) |
Authorized Official Contact | 2393692226 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Personal Family Health Care 391 Lee Blvd 400 Lehigh Acres FL 33936-4973 Ph: (239) 369-2226 | Personal Family Health Care 391 Lee Blvd 400 Lehigh Acres FL 33936-4973 Ph: (239) 369-2226 |
NPI Number | 1689672602 |
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Provider Enumeration Date | 07/13/2005 |
Last Update Date | 08/29/2010 |
Medicare PECOS PAC ID | 4880889583 |
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Medicare Enrollment ID | O20101108000809 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689672602 | NPI | - | NPPES |
266565400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME87058 (Florida) | Primary |
Provider Name | Elmer Francis Toro |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912108804 PECOS PAC ID: 4688869381 Enrollment ID: I20101108000842 |
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