| River Of Life Osteopathic Llc | |
|
2705 Maguire Rd Ocoee FL 34761-4797 | |
| (407) 574-2880 | |
| (407) 403-5612 |
| Full Name | River Of Life Osteopathic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2705 Maguire Rd, Ocoee, Florida |
| Authorized Official Name and Position | Ronald William Taylor (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4077396914 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| River Of Life Osteopathic Llc 2705 Maguire Rd Ocoee FL 34761-4797 Ph: (407) 574-2880 | River Of Life Osteopathic Llc 2705 Maguire Rd Ocoee FL 34761-4797 Ph: (407) 574-2880 |
| NPI Number | 1134426844 |
|---|---|
| Provider Enumeration Date | 02/15/2011 |
| Last Update Date | 02/15/2011 |
| Medicare PECOS PAC ID | 1658548748 |
|---|---|
| Medicare Enrollment ID | O20120112000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134426844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS9605 (Florida) | Primary |
| Provider Name | William T Crow |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1477578151 PECOS PAC ID: 3779484191 Enrollment ID: I20050110000731 |
| Provider Name | Ronald W Taylor |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1538348479 PECOS PAC ID: 5294813259 Enrollment ID: I20080416000584 |
| Provider Name | Elena M Timoshkin |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1891003687 PECOS PAC ID: 9133391758 Enrollment ID: I20111004000299 |
| Provider Name | Richard J Margaitis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720223332 PECOS PAC ID: 9638332877 Enrollment ID: I20140820001051 |
| Provider Name | Robyn S Young |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1871834135 PECOS PAC ID: 8224317433 Enrollment ID: I20161110002093 |
| Provider Name | Frederick O Barnum |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1588103659 PECOS PAC ID: 4082091913 Enrollment ID: I20220516001989 |
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