| Southwest Orlando Family Medicine,p.l. | |
|
7400 Docs Grove Cir Orlando FL 32819-8010 | |
| (407) 352-9717 | |
| (407) 354-5425 |
| Full Name | Southwest Orlando Family Medicine,p.l. |
|---|---|
| Speciality | Family Medicine |
| Location | 7400 Docs Grove Cir, Orlando, Florida |
| Authorized Official Name and Position | Meliza Gonzales (OFFICE MANAGER) |
| Authorized Official Contact | 4073529717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Orlando Family Medicine,p.l. 7400 Docs Grove Cir Orlando FL 32819-8010 Ph: (407) 352-9717 | Southwest Orlando Family Medicine,p.l. 7400 Docs Grove Cir Orlando FL 32819-8010 Ph: (407) 352-9717 |
| NPI Number | 1538237615 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 01/15/2014 |
| Medicare PECOS PAC ID | 3779486022 |
|---|---|
| Medicare Enrollment ID | O20040202000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538237615 | NPI | - | NPPES |
| 375198810 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maria V De Leon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578573093 PECOS PAC ID: 0446242804 Enrollment ID: I20040402001143 |
| Provider Name | Michael S Frasure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841380623 PECOS PAC ID: 0547269045 Enrollment ID: I20061211000489 |
| Provider Name | Patrick Paez Gonzales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770504417 PECOS PAC ID: 9032012398 Enrollment ID: I20100315000493 |
| Provider Name | Rachel Shanale Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952631640 PECOS PAC ID: 9931233244 Enrollment ID: I20100820001091 |
| Provider Name | Scarleth R Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164727236 PECOS PAC ID: 5698957355 Enrollment ID: I20110316001075 |
| Provider Name | Michelle E De La Riva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114221801 PECOS PAC ID: 1557538758 Enrollment ID: I20130111000269 |
| Provider Name | Bryan Roy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558799171 PECOS PAC ID: 2668788167 Enrollment ID: I20150828001259 |
| Provider Name | Sandra P Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851824478 PECOS PAC ID: 7517239023 Enrollment ID: I20170817003919 |
| Provider Name | Patrick Vergel De Dios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760993786 PECOS PAC ID: 9931466216 Enrollment ID: I20171121001494 |
| Provider Name | Grace Pagtakhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295185676 PECOS PAC ID: 2961798616 Enrollment ID: I20180911001187 |
| Provider Name | Rica M Jester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841684958 PECOS PAC ID: 1759696594 Enrollment ID: I20181009000621 |
| Provider Name | Juliana Caram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477038503 PECOS PAC ID: 4981948106 Enrollment ID: I20181129000147 |
| Provider Name | Yun Mi Sung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003390014 PECOS PAC ID: 1951648344 Enrollment ID: I20190123001932 |
| Provider Name | Lindsey Franko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285080473 PECOS PAC ID: 1759642531 Enrollment ID: I20190729002451 |
| Provider Name | Christopher Guadalupe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922657279 PECOS PAC ID: 4880925130 Enrollment ID: I20191017001092 |
| Provider Name | Karoon Smbatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447633920 PECOS PAC ID: 8921359084 Enrollment ID: I20200806000371 |
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Spartan Medical Men's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 | |
Abid Rasool, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 | |
The Medical Concierge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Turkey Lake Rd Ste 208, Orlando, FL 32819 Phone: 407-648-5252 Fax: 407-370-4126 | |
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