| Sorento Medical Clinic | |
|
31450 Church Street Sorrento FL 32776-9594 | |
| (352) 735-4044 | |
| (352) 735-2536 |
| Full Name | Sorento Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 31450 Church Street, Sorrento, Florida |
| Authorized Official Name and Position | George R Ikeler (OWNER) |
| Authorized Official Contact | 3527354044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sorento Medical Clinic 31450 Church Street Sorrento FL 32776-9594 Ph: (352) 735-4044 | Sorento Medical Clinic 31450 Church Street Sorrento FL 32776-9594 Ph: (352) 735-4044 |
| NPI Number | 1104098565 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104098565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME12314 (Florida) | Primary |
Lowell F. Clark Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31450 Church St, Sorrento, FL 32776 Phone: 352-735-4044 | |
Clark Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31450 Church St, Sorrento, FL 32776 Phone: 352-735-4044 | |
George R Ikeler, M.d P.a. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31450 Church St, Sorrento, FL 32776 Phone: 352-735-4044 Fax: 352-735-2536 | |
Plymouth-sorrento Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30844 Westridge Ter, Sorrento, FL 32776 Phone: 352-406-8583 |