Primary Care Walk In Clinic,pllc | |
6329 State Road 54 New Port Richey FL 34653-6037 | |
(727) 844-5555 | |
(727) 844-5553 |
Full Name | Primary Care Walk In Clinic,pllc |
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Speciality | Internal Medicine |
Location | 6329 State Road 54, New Port Richey, Florida |
Authorized Official Name and Position | Tejinder K Dhaliwal (MANAGING MEMBER) |
Authorized Official Contact | 7278445555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Walk In Clinic,pllc 6329 State Road 54 New Port Richey FL 34653-6037 Ph: (727) 844-5555 | Primary Care Walk In Clinic,pllc 6329 State Road 54 New Port Richey FL 34653-6037 Ph: (727) 844-5555 |
NPI Number | 1871866871 |
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Provider Enumeration Date | 02/22/2012 |
Last Update Date | 02/22/2012 |
Medicare PECOS PAC ID | 7315194743 |
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Medicare Enrollment ID | O20120820001137 |
Identifier | Type | State | Issuer |
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1871866871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Gunwant Dhaliwal |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598750648 PECOS PAC ID: 2961482393 Enrollment ID: I20101029000170 |
Provider Name | Tejinder K Dhaliwal |
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Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1275627622 PECOS PAC ID: 7214115328 Enrollment ID: I20110620000524 |
Provider Name | Eulora Michel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528466851 PECOS PAC ID: 7416274022 Enrollment ID: I20150319001069 |
Provider Name | Sora Song |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255945887 PECOS PAC ID: 7911375944 Enrollment ID: I20221123001948 |
Provider Name | Tatiana Pacheco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922787001 PECOS PAC ID: 9436505773 Enrollment ID: I20231108001203 |
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