| Piecar Community Healthcare Llc | |
|
724 Charles St Orlando FL 32808-7509 | |
| (407) 704-8724 | |
| (407) 730-3446 |
| Full Name | Piecar Community Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 724 Charles St, Orlando, Florida |
| Authorized Official Name and Position | Pierre Joseph Fontaine (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4077048724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Piecar Community Healthcare Llc Po Box 682027 Orlando FL 32868-2027 Ph: (407) 704-8724 | Piecar Community Healthcare Llc 724 Charles St Orlando FL 32808-7509 Ph: (407) 704-8724 |
| NPI Number | 1821480351 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 08/09/2023 |
| Medicare PECOS PAC ID | 4183078488 |
|---|---|
| Medicare Enrollment ID | O20230920001551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821480351 | NPI | - | NPPES |
| 009942300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ACN 278 (Florida) | Primary |
| Provider Name | Pierre J. Fontaine |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790949543 PECOS PAC ID: 9436206786 Enrollment ID: I20090416000517 |
| Provider Name | Judith Faustin-gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194137679 PECOS PAC ID: 3971801168 Enrollment ID: I20160421001371 |
| Provider Name | Nemie Thelot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730673187 PECOS PAC ID: 6507295029 Enrollment ID: I20200405000147 |
| Provider Name | Babara E Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437597655 PECOS PAC ID: 8921324021 Enrollment ID: I20221031000230 |
| Provider Name | Kirpich Joseph |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750373023 PECOS PAC ID: 1456304286 Enrollment ID: I20231221002345 |
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