| Primary Care Services Of Polk County Inc | |
|
103 Escambia Davenport FL 33837-4119 | |
| (863) 421-7778 | |
| (863) 421-7795 |
| Full Name | Primary Care Services Of Polk County Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Escambia, Davenport, Florida |
| Authorized Official Name and Position | Ceferina B Del Rosario (PRESIDENT) |
| Authorized Official Contact | 8634217778 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Services Of Polk County Inc 103 Escambia Davenport FL 33837-4119 Ph: (863) 421-7778 | Primary Care Services Of Polk County Inc 103 Escambia Davenport FL 33837-4119 Ph: (863) 421-7778 |
| NPI Number | 1235336132 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 06/17/2008 |
| Medicare PECOS PAC ID | 2769578855 |
|---|---|
| Medicare Enrollment ID | O20080508000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235336132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME74133 (Florida) | Primary |
| Provider Name | Ceferina B Del Rosario |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124039789 PECOS PAC ID: 7719066521 Enrollment ID: I20080506000126 |
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