| Prime Care Family Health Center Inc | |
|
2840 N Hiawassee Rd Orlando FL 32818-3319 | |
| (407) 378-6288 | |
| Not Available |
| Full Name | Prime Care Family Health Center Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2840 N Hiawassee Rd, Orlando, Florida |
| Authorized Official Name and Position | Raymond Levy (PRESIDENT) |
| Authorized Official Contact | 3052529485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Care Family Health Center Inc 9780 E Indigo St Ste 204 Palmetto Bay FL 33157-5610 Ph: (305) 804-7947 | Prime Care Family Health Center Inc 2840 N Hiawassee Rd Orlando FL 32818-3319 Ph: (407) 378-6288 |
| NPI Number | 1033696836 |
|---|---|
| Provider Enumeration Date | 07/24/2018 |
| Last Update Date | 07/24/2018 |
| Medicare PECOS PAC ID | 5799002218 |
|---|---|
| Medicare Enrollment ID | O20150323000534 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033696836 | NPI | - | NPPES |
| IC072A | Other | FL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard B Powell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023103702 PECOS PAC ID: 9830157981 Enrollment ID: I20041222000201 |
| Provider Name | Virginia V Santana Feliz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285851063 PECOS PAC ID: 9739108127 Enrollment ID: I20161110000620 |
| Provider Name | Carthia Joachim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265039820 PECOS PAC ID: 7214318914 Enrollment ID: I20220712003871 |
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