| Premier Internal Medicine Of Ocoee | |
|
2716 Rew Cir Suite 100 Ocoee FL 34761-4201 | |
| (407) 448-7136 | |
| (407) 347-0570 |
| Full Name | Premier Internal Medicine Of Ocoee |
|---|---|
| Speciality | Internal Medicine |
| Location | 2716 Rew Cir, Ocoee, Florida |
| Authorized Official Name and Position | Adnan A Khan (OWNER) |
| Authorized Official Contact | 4074487136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Internal Medicine Of Ocoee 2716 Rew Cir Suite 100 Ocoee FL 34761-4201 Ph: (407) 448-7136 | Premier Internal Medicine Of Ocoee 2716 Rew Cir Suite 100 Ocoee FL 34761-4201 Ph: (407) 448-7136 |
| NPI Number | 1215176268 |
|---|---|
| Provider Enumeration Date | 02/16/2009 |
| Last Update Date | 09/10/2015 |
| Medicare PECOS PAC ID | 3375695620 |
|---|---|
| Medicare Enrollment ID | O20090716000587 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215176268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME84875 (Florida) | Primary |
| Provider Name | Adnan A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164498051 PECOS PAC ID: 9638111404 Enrollment ID: I20080530000024 |
| Provider Name | Stephanie M. Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882223 PECOS PAC ID: 6103723226 Enrollment ID: I20151121000359 |
| Provider Name | Jensine Largado Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114681525 PECOS PAC ID: 4789073388 Enrollment ID: I20211122000740 |
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