| Sacowi Medical Clinic | |
|
365 Wekiva Springs Rd Suite 231 Longwood FL 32779-3684 | |
| (407) 960-6075 | |
| (888) 622-0903 |
| Full Name | Sacowi Medical Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 365 Wekiva Springs Rd, Longwood, Florida |
| Authorized Official Name and Position | Samuel Jean (PRESIDENT/OWNER) |
| Authorized Official Contact | 4075926073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacowi Medical Clinic 365 Wekiva Springs Rd Suite 231 Longwood FL 32779-3684 Ph: (407) 960-6075 | Sacowi Medical Clinic 365 Wekiva Springs Rd Suite 231 Longwood FL 32779-3684 Ph: (407) 960-6075 |
| NPI Number | 1952648974 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 02/06/2013 |
| Medicare PECOS PAC ID | 5597910703 |
|---|---|
| Medicare Enrollment ID | O20130219000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952648974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME98157 (Florida) | Primary |
| Provider Name | Samuel Jean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730276783 PECOS PAC ID: 4880788272 Enrollment ID: I20070917000012 |
| Provider Name | Junias Desamour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609890045 PECOS PAC ID: 5294821583 Enrollment ID: I20071018000034 |
| Provider Name | Kumarie Davie Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730786468 PECOS PAC ID: 4183037914 Enrollment ID: I20210115000040 |
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