| Spring Hill Primary Care Llc | |
|
10500 Spring Hill Dr Spring Hill FL 34608-5046 | |
| (352) 835-7155 | |
| (352) 835-7199 |
| Full Name | Spring Hill Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10500 Spring Hill Dr, Spring Hill, Florida |
| Authorized Official Name and Position | Rajyalakshmi Kolli (CEO) |
| Authorized Official Contact | 3528357155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spring Hill Primary Care Llc 10500 Spring Hill Dr Spring Hill FL 34608-5046 Ph: (352) 835-7155 | Spring Hill Primary Care Llc 10500 Spring Hill Dr Spring Hill FL 34608-5046 Ph: (352) 835-7155 |
| NPI Number | 1336453141 |
|---|---|
| Provider Enumeration Date | 08/04/2010 |
| Last Update Date | 11/13/2012 |
| Medicare PECOS PAC ID | 2567656242 |
|---|---|
| Medicare Enrollment ID | O20101027000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336453141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ME106816 (Florida) | Primary |
| Provider Name | Rajyalakshmi Kolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750619565 PECOS PAC ID: 9638363310 Enrollment ID: I20101027000959 |
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