Saxon Internal Medicine P A | |
2574 S Volusia Ave Orange City FL 32763-9123 | |
(386) 775-1086 | |
(386) 775-8990 |
Full Name | Saxon Internal Medicine P A |
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Speciality | Internal Medicine |
Location | 2574 S Volusia Ave, Orange City, Florida |
Authorized Official Name and Position | Uzma Ahmed Khurshid (BUSINESS OWNER) |
Authorized Official Contact | 4076945984 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Saxon Internal Medicine P A 2574 S Volusia Ave Orange City FL 32763-9123 Ph: (386) 775-1086 | Saxon Internal Medicine P A 2574 S Volusia Ave Orange City FL 32763-9123 Ph: (386) 775-1086 |
NPI Number | 1164782637 |
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Provider Enumeration Date | 05/18/2012 |
Last Update Date | 05/26/2016 |
Medicare PECOS PAC ID | 1153579644 |
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Medicare Enrollment ID | O20120906000610 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164782637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Syed G Khurshid |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730147455 PECOS PAC ID: 8123045457 Enrollment ID: I20051026000875 |
Provider Name | Uzma Ahmed Khurshid |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598866717 PECOS PAC ID: 9234286279 Enrollment ID: I20090409000189 |
Provider Name | Charmaine Alecia Martin-clarke |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649787532 PECOS PAC ID: 0547681397 Enrollment ID: I20200602002480 |
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