| Richard E. Promin, Md.pa | |
|
3301 Sw 34th Cir Ste 301 Ocala FL 34474-6615 | |
| (352) 629-0181 | |
| (352) 629-0587 |
| Full Name | Richard E. Promin, Md.pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3301 Sw 34th Cir Ste 301, Ocala, Florida |
| Authorized Official Name and Position | Richard E Promin (PRESIDENT) |
| Authorized Official Contact | 3526290181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E. Promin, Md.pa 3301 Sw 34th Cir Ste 301 Ocala FL 34474-6615 Ph: (352) 629-0181 | Richard E. Promin, Md.pa 3301 Sw 34th Cir Ste 301 Ocala FL 34474-6615 Ph: (352) 629-0181 |
| NPI Number | 1972834729 |
|---|---|
| Provider Enumeration Date | 01/19/2010 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972834729 | NPI | - | NPPES |
| 047439800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME10123 (Florida) | Primary |
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