| Prixus Medical | |
|
8624 Lee Vista Blvd Orlando FL 32829-8383 | |
| (787) 671-0051 | |
| Not Available |
| Full Name | Prixus Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 8624 Lee Vista Blvd, Orlando, Florida |
| Authorized Official Name and Position | Raphael Bones (PRESIDENT) |
| Authorized Official Contact | 4077203209 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prixus Medical 12092 Jewel Fish Ln Orlando FL 32827-7141 Ph: () - | Prixus Medical 8624 Lee Vista Blvd Orlando FL 32829-8383 Ph: (787) 671-0051 |
| NPI Number | 1881065324 |
|---|---|
| Provider Enumeration Date | 10/09/2015 |
| Last Update Date | 10/11/2024 |
| Medicare PECOS PAC ID | 3678864055 |
|---|---|
| Medicare Enrollment ID | O20160614002570 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881065324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME116549 (Florida) | Primary |
| Provider Name | Raphael Bones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326069857 PECOS PAC ID: 9436149960 Enrollment ID: I20140203000028 |
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