| Seniorcare Usa Llc | |
|
2716 Rew Cir Ste 100 Ocoee FL 34761-4201 | |
| (407) 347-0666 | |
| Not Available |
| Full Name | Seniorcare Usa Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2716 Rew Cir Ste 100, Ocoee, Florida |
| Authorized Official Name and Position | Adnan Khan (MD/PRESIDENT/OWNER) |
| Authorized Official Contact | 4073470666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seniorcare Usa Llc 2716 Rew Cir Ste 100 Ocoee FL 34761-4201 Ph: (407) 347-0666 | Seniorcare Usa Llc 2716 Rew Cir Ste 100 Ocoee FL 34761-4201 Ph: (407) 347-0666 |
| NPI Number | 1780167304 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 11/15/2018 |
| Medicare PECOS PAC ID | 9638415664 |
|---|---|
| Medicare Enrollment ID | O20190114000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780167304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Adnan A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164498051 PECOS PAC ID: 9638111404 Enrollment ID: I20080530000024 |
| Provider Name | Stephanie M. Strobel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063882223 PECOS PAC ID: 6103723226 Enrollment ID: I20151121000359 |
| Provider Name | Jensine Largado Caudill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114681525 PECOS PAC ID: 4789073388 Enrollment ID: I20211122000740 |
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