| Sanford Medical Group, Pa | |
|
1621 W 1st St Sanford FL 32771-1617 | |
| (407) 322-4431 | |
| (407) 322-4448 |
| Full Name | Sanford Medical Group, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1621 W 1st St, Sanford, Florida |
| Authorized Official Name and Position | Vinay Chandra Srivastava (PRESIDENT) |
| Authorized Official Contact | 4073224431 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanford Medical Group, Pa 1621 W 1st St P.o. Box 848 Sanford FL 32772-0848 Ph: (407) 322-4431 | Sanford Medical Group, Pa 1621 W 1st St Sanford FL 32771-1617 Ph: (407) 322-4431 |
| NPI Number | 1801801501 |
|---|---|
| Provider Enumeration Date | 07/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9133159718 |
|---|---|
| Medicare Enrollment ID | O20050813000146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801801501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME93082 (Florida) | Primary |
| Provider Name | Vinay Chandra Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326054396 PECOS PAC ID: 8123058708 Enrollment ID: I20050818000190 |
| Provider Name | Sangita Mohan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104832062 PECOS PAC ID: 0840438560 Enrollment ID: I20130607000232 |
True Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4930 E Lake Mary Blvd, Sanford, FL 32771 Phone: 407-322-8645 | |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2432 S French Ave, Sanford, FL 32771 Phone: 407-768-4464 Fax: 407-878-0114 | |
Health Holdings Company Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2698 S Orlando Dr, Sanford, FL 32773 Phone: 407-664-0515 | |
Primary Care Physicians Of Sanford Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W 1st St, Sanford, FL 32771 Phone: 407-324-5035 Fax: 407-321-5266 | |
Palm Medical Center Lakeland Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2698 S Orlando Dr, Sanford, FL 32773 Phone: 407-487-8975 Fax: 407-487-8983 | |
Josie Velasco Od Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3661 S Orlando Dr, Sanford, FL 32773 Phone: 407-323-4640 | |
S & B Health Services Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 522 W Lake Mary Blvd, Sanford, FL 32773 Phone: 407-401-9140 Fax: 888-501-2105 |