Soni Family Practice Pllc | |
106 Park Place Blvd Ste C Davenport FL 33837-6868 | |
(863) 588-4775 | |
(863) 422-7664 |
Full Name | Soni Family Practice Pllc |
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Speciality | Family Medicine |
Location | 106 Park Place Blvd Ste C, Davenport, Florida |
Authorized Official Name and Position | Ambica Soni (OWNER) |
Authorized Official Contact | 8635884775 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Soni Family Practice Pllc Po Box 1568 Davenport FL 33836-1568 Ph: (863) 588-4775 | Soni Family Practice Pllc 106 Park Place Blvd Ste C Davenport FL 33837-6868 Ph: (863) 588-4775 |
NPI Number | 1083957583 |
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Provider Enumeration Date | 04/03/2013 |
Last Update Date | 09/30/2024 |
Medicare PECOS PAC ID | 8224274840 |
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Medicare Enrollment ID | O20130425000711 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083957583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Yarima Marcucci |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1427151356 PECOS PAC ID: 2769514355 Enrollment ID: I20120723000571 |
Provider Name | Ambica Soni |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114191079 PECOS PAC ID: 2567634710 Enrollment ID: I20130425000715 |
Provider Name | Gopi Kiran Maharaja |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649568288 PECOS PAC ID: 6901102078 Enrollment ID: I20160316000477 |
Provider Name | Isabel Hidalgo Acosta |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1376924191 PECOS PAC ID: 0749582112 Enrollment ID: I20170210001730 |
Provider Name | Francisco Javier Munoz San Julian |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1578534392 PECOS PAC ID: 5991797946 Enrollment ID: I20170221000593 |
Provider Name | Jader Harlow |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528304854 PECOS PAC ID: 8729364831 Enrollment ID: I20170404000110 |
Provider Name | Jose Xavier Pluguez |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1922158476 PECOS PAC ID: 9335033372 Enrollment ID: I20220708003508 |
Provider Name | Walver Baez Mejias |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1992404677 PECOS PAC ID: 9032578372 Enrollment ID: I20231030003915 |
Provider Name | Nestor Samuel Garcia Ceballos |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467779579 PECOS PAC ID: 2668596289 Enrollment ID: I20240503000053 |
Lake Mary Spine & Rehabilitation Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 45677 Highway 27, Davenport, FL 33897 Phone: 407-942-3258 Fax: 440-794-2331 | |
Olympia Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2306 North Blvd W Ste C, Davenport, FL 33837 Phone: 863-547-9200 | |
Elon Health Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 43378 Highway 27 Ste B, Davenport, FL 33837 Phone: 407-205-6996 Fax: 407-871-3599 | |
Davenport Medical Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2502 Sand Mine Rd, Davenport, FL 33897 Phone: 863-420-4077 Fax: 863-420-4087 | |
Alive & Blossom Healthcare Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 190 Champions Vue Loop Unit 408, Davenport, FL 33897 Phone: 954-394-4793 | |
Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2302 North Blvd., Suite D, Davenport, FL 33837 Phone: 863-422-1400 Fax: 863-419-7935 |