| Southwest Internal Medicine Specialists | |
|
5979 Vineland Rd Suite 310 Orlando FL 32819-7800 | |
| (407) 345-0005 | |
| (407) 352-8585 |
| Full Name | Southwest Internal Medicine Specialists |
|---|---|
| Speciality | Internal Medicine |
| Location | 5979 Vineland Rd, Orlando, Florida |
| Authorized Official Name and Position | Jaime Cruz (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4073450005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Internal Medicine Specialists 5979 Vineland Rd Suite 310 Orlando FL 32819-7800 Ph: (407) 345-0005 | Southwest Internal Medicine Specialists 5979 Vineland Rd Suite 310 Orlando FL 32819-7800 Ph: (407) 345-0005 |
| NPI Number | 1033226345 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 10/27/2009 |
| Medicare PECOS PAC ID | 9436183712 |
|---|---|
| Medicare Enrollment ID | O20050926000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033226345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Manuel J Galceran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205943602 PECOS PAC ID: 1951492131 Enrollment ID: I20090923000160 |
| Provider Name | Aparna Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720195027 PECOS PAC ID: 0345395943 Enrollment ID: I20100219000487 |
| Provider Name | Jerilyn A Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154786267 PECOS PAC ID: 9739483983 Enrollment ID: I20160209000043 |
| Provider Name | Stephanie Np Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821624644 PECOS PAC ID: 8123419090 Enrollment ID: I20220104000069 |
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