| Primary Care Of Orange City Llc | |
|
135 E Minnesota Ave Orange City FL 32763-2312 | |
| (386) 241-0274 | |
| (386) 241-0275 |
| Full Name | Primary Care Of Orange City Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 135 E Minnesota Ave, Orange City, Florida |
| Authorized Official Name and Position | John Croker (OWNER) |
| Authorized Official Contact | 3864733553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Of Orange City Llc 341 W Minnesota Ave Orange City FL 32763-2205 Ph: (386) 473-3553 | Primary Care Of Orange City Llc 135 E Minnesota Ave Orange City FL 32763-2312 Ph: (386) 241-0274 |
| NPI Number | 1831615087 |
|---|---|
| Provider Enumeration Date | 08/19/2017 |
| Last Update Date | 08/12/2020 |
| Medicare PECOS PAC ID | 7517232804 |
|---|---|
| Medicare Enrollment ID | O20171012002454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831615087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ARNP3333802 (Florida) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | John Croker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518927763 PECOS PAC ID: 2466353412 Enrollment ID: I20040114000334 |
| Provider Name | Dmitriy Shishkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891230371 PECOS PAC ID: 1557626991 Enrollment ID: I20180605002880 |
| Provider Name | Alicia Hulsizer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285380352 PECOS PAC ID: 4880071489 Enrollment ID: I20220520001095 |
| Provider Name | Shantoria Lashawn Cooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881370864 PECOS PAC ID: 4981052503 Enrollment ID: I20231121000361 |
| Provider Name | Michaela Slover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184495939 PECOS PAC ID: 7012358427 Enrollment ID: I20240516002271 |
| Provider Name | Mekeshia Shanquietta Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548000789 PECOS PAC ID: 8325580111 Enrollment ID: I20240607002528 |
Primary Care In Your Home Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 341 W Minnesota Ave, Orange City, FL 32763 Phone: 386-316-5439 | |
Genesis Family Practice, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1133 Saxon Blvd, Orange City, FL 32763 Phone: 386-228-9700 | |
Orlando Physicians Network Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2565 Enterprise Rd Ste 300, Orange City, FL 32763 Phone: 386-201-9100 | |
Mediwell Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 921 Town Center Dr, Orange City, FL 32763 Phone: 646-346-4709 | |
Gastroenterology And Liver Diseases Of Central Florida Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2541 S Volusia Ave Ste 300, Orange City, FL 32763 Phone: 386-218-6893 Fax: 386-218-6895 | |
Longleaf Pediatrics Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Birch Ave, Orange City, FL 32763 Phone: 386-532-0800 Fax: 386-532-7005 | |
Ellison Eyecare Ltd. Co Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1039 Harley Strickland Blvd, Orange City, FL 32763 Phone: 386-774-0044 |