| Rw Family Practice & Preventive Care, Llc. | |
|
6735 Conroy Rd Ste 418 Orlando FL 32835-3566 | |
| (407) 420-7374 | |
| (407) 271-8411 |
| Full Name | Rw Family Practice & Preventive Care, Llc. |
|---|---|
| Speciality | Family Medicine |
| Location | 6735 Conroy Rd Ste 418, Orlando, Florida |
| Authorized Official Name and Position | Wilnard Dastine (APRN, FNP) |
| Authorized Official Contact | 4075161203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rw Family Practice & Preventive Care, Llc. 6735 Conroy Rd Ste 418 Orlando FL 32835-3566 Ph: (407) 420-7374 | Rw Family Practice & Preventive Care, Llc. 6735 Conroy Rd Ste 418 Orlando FL 32835-3566 Ph: (407) 420-7374 |
| NPI Number | 1609484336 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Medicare PECOS PAC ID | 5193140770 |
|---|---|
| Medicare Enrollment ID | O20200729002881 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609484336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Wilnard Dastine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427580869 PECOS PAC ID: 1153684345 Enrollment ID: I20180423001256 |
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