Platinum Primary Care Pllc | |
2071 Dundee Dr Winter Park FL 32792-4104 | |
(347) 681-4136 | |
Not Available |
Full Name | Platinum Primary Care Pllc |
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Speciality | Internal Medicine |
Location | 2071 Dundee Dr, Winter Park, Florida |
Authorized Official Name and Position | Asha Tota-maharaj (OWNER/PROVIDER) |
Authorized Official Contact | 3476814136 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Platinum Primary Care Pllc 2071 Dundee Dr Winter Park FL 32792-4104 Ph: (347) 681-4136 | Platinum Primary Care Pllc 2071 Dundee Dr Winter Park FL 32792-4104 Ph: (347) 681-4136 |
NPI Number | 1861007726 |
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Provider Enumeration Date | 09/08/2020 |
Last Update Date | 06/01/2021 |
Medicare PECOS PAC ID | 0749690089 |
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Medicare Enrollment ID | O20201028000158 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861007726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Asha G Tota-maharaj |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669603601 PECOS PAC ID: 8729242029 Enrollment ID: I20161024000757 |
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