| Pulmonary And Sleep Medicine Of Clay, Pllc | |
|
400 College Dr Ste 112 Middleburg FL 32068-8524 | |
| (904) 345-0325 | |
| Not Available |
| Full Name | Pulmonary And Sleep Medicine Of Clay, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 College Dr Ste 112, Middleburg, Florida |
| Authorized Official Name and Position | Margaret Davis Hovda (MANAGING MEMBER) |
| Authorized Official Contact | 9043529557 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pulmonary And Sleep Medicine Of Clay, Pllc 5000 Us Highway 17 Ste 18 Fleming Island FL 32003-8250 Ph: (904) 345-0325 | Pulmonary And Sleep Medicine Of Clay, Pllc 400 College Dr Ste 112 Middleburg FL 32068-8524 Ph: (904) 345-0325 |
| NPI Number | 1760263495 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 10/09/2023 |
| Medicare PECOS PAC ID | 0941658561 |
|---|---|
| Medicare Enrollment ID | O20231121000515 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760263495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Margaret Davis Hovda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376744581 PECOS PAC ID: 8325360126 Enrollment ID: I20141205001402 |
| Provider Name | Sheila Gonzalez |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1215040894 PECOS PAC ID: 0648231688 Enrollment ID: I20180618000991 |
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