| Sarina Healthcare Llc | |
|
905 Beville Rd South Daytona FL 32119-1705 | |
| (386) 767-9000 | |
| Not Available |
| Full Name | Sarina Healthcare Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 905 Beville Rd, South Daytona, Florida |
| Authorized Official Name and Position | Jamshed Khan (DIRECTOR) |
| Authorized Official Contact | 3867679000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarina Healthcare Llc 68 Windsor Rd Brookline MA 02445-1335 Ph: (617) 319-2914 | Sarina Healthcare Llc 905 Beville Rd South Daytona FL 32119-1705 Ph: (386) 767-9000 |
| NPI Number | 1831774264 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 03/17/2021 |
| Medicare PECOS PAC ID | 1456740752 |
|---|---|
| Medicare Enrollment ID | O20211108000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831774264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James P Kulis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942897293 PECOS PAC ID: 0143619155 Enrollment ID: I20211112002106 |
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