| |
4406 S Florida Ave Ste 17 Lakeland FL 33813-2182 | |
(863) 646-5088 | |
(863) 904-4701 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 4406 S Florida Ave Ste 17, Lakeland, Florida |
Authorized Official Name and Position | Ayesha Jafri (CEO) |
Authorized Official Contact | 8636465088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
4406 S Florida Ave Ste 17 Lakeland FL 33813-2182 Ph: (863) 646-5088 | 4406 S Florida Ave Ste 17 Lakeland FL 33813-2182 Ph: (863) 646-5088 |
NPI Number | 1578177523 |
---|---|
Provider Enumeration Date | 09/06/2020 |
Last Update Date | 06/04/2024 |
Medicare PECOS PAC ID | 8729407499 |
---|---|
Medicare Enrollment ID | O20200929002952 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578177523 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ayesha Jafri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639272131 PECOS PAC ID: 5092901694 Enrollment ID: I20150930001904 |
Verimed Health Group Lakeland Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 809 S Florida Ave, Lakeland, FL 33801 Phone: 863-688-5811 | |
Ethos Health Lakeland, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 Commerce Dr Ste 104, Lakeland, FL 33813 Phone: 352-732-5590 Fax: 352-732-0292 | |
Central Florida Health Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 903 Lowry Ave, Lakeland, FL 33801 Phone: 866-234-8534 | |
Bond Clinic Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2039 E Edgewood Dr, Lakeland, FL 33803 Phone: 863-293-1191 | |