| Promed Associates Llc | |
|
7642 Blue Quail Ln Orlando FL 32835-5815 | |
| (609) 892-8752 | |
| (407) 386-7878 |
| Full Name | Promed Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7642 Blue Quail Ln, Orlando, Florida |
| Authorized Official Name and Position | Narsimha Rangaraj (PARTNER) |
| Authorized Official Contact | 6098928752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Promed Associates Llc 7642 Blue Quail Ln Orlando FL 32835-5815 Ph: (609) 892-8752 | Promed Associates Llc 7642 Blue Quail Ln Orlando FL 32835-5815 Ph: (609) 892-8752 |
| NPI Number | 1689210858 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 3870908056 |
|---|---|
| Medicare Enrollment ID | O20210222000797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689210858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Narsimha R Rangaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861402638 PECOS PAC ID: 7719162981 Enrollment ID: I20151022002649 |
| Provider Name | Padmaja Rangaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396990214 PECOS PAC ID: 0941358766 Enrollment ID: I20160120000001 |
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