| Ocoee Internal Medicine | |
|
1144 Kelton Ave Ste 1009 Ocoee FL 34761-3175 | |
| (075) 538-0304 | |
| Not Available |
| Full Name | Ocoee Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1144 Kelton Ave Ste 1009, Ocoee, Florida |
| Authorized Official Name and Position | Talha Shamim (OWNER) |
| Authorized Official Contact | 0267982244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocoee Internal Medicine 1144 Kelton Ave Ste 1009 Ocoee FL 34761-3175 Ph: (407) 553-8030 | Ocoee Internal Medicine 1144 Kelton Ave Ste 1009 Ocoee FL 34761-3175 Ph: (075) 538-0304 |
| NPI Number | 1063841567 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 10/17/2023 |
| Medicare PECOS PAC ID | 5991934135 |
|---|---|
| Medicare Enrollment ID | O20140210000732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063841567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Talha Shamim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376573295 PECOS PAC ID: 1052203320 Enrollment ID: I20110215000024 |
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