| Professionals Caring For Humanity Inc | |
|
9421 S Orange Blossom Trl # 19 Orlando FL 32837-8320 | |
| (407) 601-2527 | |
| (407) 674-6640 |
| Full Name | Professionals Caring For Humanity Inc |
|---|---|
| Speciality | General Practice |
| Location | 9421 S Orange Blossom Trl # 19, Orlando, Florida |
| Authorized Official Name and Position | Larry De Jesus (DCP) |
| Authorized Official Contact | 3056444410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professionals Caring For Humanity Inc 10 Nw 42nd Ave Ste 220 Miami FL 33126-5475 Ph: (305) 644-4410 | Professionals Caring For Humanity Inc 9421 S Orange Blossom Trl # 19 Orlando FL 32837-8320 Ph: (407) 601-2527 |
| NPI Number | 1750827531 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 11/24/2020 |
| Medicare PECOS PAC ID | 5890105993 |
|---|---|
| Medicare Enrollment ID | O20201030001432 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750827531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | Mildred Silva |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093735615 PECOS PAC ID: 7517946197 Enrollment ID: I20040716000792 |
| Provider Name | Michael Thrasher |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861886608 PECOS PAC ID: 8628382017 Enrollment ID: I20190215000736 |
| Provider Name | Kelyi Ortiz Betancourt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023624921 PECOS PAC ID: 9234546979 Enrollment ID: I20210325001273 |
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