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235 Citrus Tower Blvd Suite 104 Clermont FL 34711-2712 | |
| (352) 536-1764 | |
| (352) 536-1765 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 235 Citrus Tower Blvd, Clermont, Florida |
| Authorized Official Name and Position | Aashiv N. Hari (MANAGER) |
| Authorized Official Contact | 3525361764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
235 Citrus Tower Blvd Suite 104 Clermont FL 34711-2712 Ph: (352) 536-1764 | 235 Citrus Tower Blvd Suite 104 Clermont FL 34711-2712 Ph: (352) 536-1764 |
| NPI Number | 1164480042 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 09/28/2007 |
| Medicare PECOS PAC ID | 0446293450 |
|---|---|
| Medicare Enrollment ID | O20050609000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164480042 | NPI | - | NPPES |
| 13764 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME84484 (Florida) | Primary |
| Provider Name | Aashiv Navnit Hari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245427715 PECOS PAC ID: 6406899418 Enrollment ID: I20100806000259 |
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