| Personalized Primary Care | |
|
602 Front St Celebration FL 34747-4675 | |
| (407) 566-2454 | |
| (407) 566-2572 |
| Full Name | Personalized Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 602 Front St, Celebration, Florida |
| Authorized Official Name and Position | James Gregory Scelfo (OWNER) |
| Authorized Official Contact | 4075662454 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Personalized Primary Care 602 Front St Celebration FL 34747-4675 Ph: (407) 566-2454 | Personalized Primary Care 602 Front St Celebration FL 34747-4675 Ph: (407) 566-2454 |
| NPI Number | 1144215757 |
|---|---|
| Provider Enumeration Date | 09/20/2005 |
| Last Update Date | 04/11/2008 |
| Medicare PECOS PAC ID | 1557361953 |
|---|---|
| Medicare Enrollment ID | O20070109000440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144215757 | NPI | - | NPPES |
| 13631 | Other | FL | BCBS OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME79384 (Florida) | Primary |
| Provider Name | James G Scelfo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245225846 PECOS PAC ID: 7315851011 Enrollment ID: I20031117000813 |
| Provider Name | Katelyn A Meade |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518327121 PECOS PAC ID: 5991035701 Enrollment ID: I20190920002437 |
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