| Pfk513 Llc | |
|
4854 Pinot St Rockledge FL 32955-5162 | |
| (214) 244-6488 | |
| Not Available |
| Full Name | Pfk513 Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4854 Pinot St, Rockledge, Florida |
| Authorized Official Name and Position | Erich Schoen-kiewert (OWNER) |
| Authorized Official Contact | 2142446488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pfk513 Llc 4854 Pinot St Rockledge FL 32955-5162 Ph: (214) 244-6488 | Pfk513 Llc 4854 Pinot St Rockledge FL 32955-5162 Ph: (214) 244-6488 |
| NPI Number | 1225646763 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225646763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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