Physician Management Services Of Florida Ii, Llc | |
8133 State Road 54 New Port Richey FL 34655-3000 | |
(888) 829-8550 | |
Not Available |
Full Name | Physician Management Services Of Florida Ii, Llc |
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Speciality | Family Medicine |
Location | 8133 State Road 54, New Port Richey, Florida |
Authorized Official Name and Position | Brett Kenefick (PRESIDENT) |
Authorized Official Contact | 8888298550 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Physician Management Services Of Florida Ii, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (888) 829-8550 | Physician Management Services Of Florida Ii, Llc 8133 State Road 54 New Port Richey FL 34655-3000 Ph: (888) 829-8550 |
NPI Number | 1376107797 |
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Provider Enumeration Date | 05/01/2019 |
Last Update Date | 08/28/2024 |
Medicare PECOS PAC ID | 6608103023 |
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Medicare Enrollment ID | O20190808000641 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376107797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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