| Sand Lake Medical Walk In Clinic | |
|
1650 Sand Lake Rd Ste 112a Orlando FL 32809-7671 | |
| (407) 286-1829 | |
| (407) 286-3291 |
| Full Name | Sand Lake Medical Walk In Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1650 Sand Lake Rd Ste 112a, Orlando, Florida |
| Authorized Official Name and Position | Kantilal Bhalani (PHYSICIA) |
| Authorized Official Contact | 4072861829 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sand Lake Medical Walk In Clinic 1650 Sand Lake Rd Suite 112a Orlando FL 32809-7681 Ph: (407) 286-1829 | Sand Lake Medical Walk In Clinic 1650 Sand Lake Rd Ste 112a Orlando FL 32809-7671 Ph: (407) 286-1829 |
| NPI Number | 1609321454 |
|---|---|
| Provider Enumeration Date | 08/22/2016 |
| Last Update Date | 11/02/2022 |
| Medicare PECOS PAC ID | 7214233576 |
|---|---|
| Medicare Enrollment ID | O20180817001214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609321454 | NPI | - | NPPES |
| 016834700 | Medicaid | FL | |
| 1609321454 | Other | FL | NPI NUMBER |
| Provider Name | Kantilal Bhalani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770688434 PECOS PAC ID: 2264421684 Enrollment ID: I20040511000547 |
| Provider Name | Humberto J Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215130943 PECOS PAC ID: 9436041357 Enrollment ID: I20090914000556 |
| Provider Name | Erin Goss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386096584 PECOS PAC ID: 5294064390 Enrollment ID: I20191230000040 |
| Provider Name | Karen Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518464064 PECOS PAC ID: 7719317791 Enrollment ID: I20200414002823 |
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