| St Anthony's Family Medical Practice Md Pa | |
|
1584 Citrus Medical Ct Ocoee FL 34761-4547 | |
| (407) 512-6401 | |
| Not Available |
| Full Name | St Anthony's Family Medical Practice Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1584 Citrus Medical Ct, Ocoee, Florida |
| Authorized Official Name and Position | Amy White (MANAGER) |
| Authorized Official Contact | 4075126401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St Anthony's Family Medical Practice Md Pa 1584 Citrus Medical Ct Ocoee FL 34761-4547 Ph: (407) 512-6401 | St Anthony's Family Medical Practice Md Pa 1584 Citrus Medical Ct Ocoee FL 34761-4547 Ph: (407) 512-6401 |
| NPI Number | 1558653253 |
|---|---|
| Provider Enumeration Date | 05/12/2011 |
| Last Update Date | 09/29/2012 |
| Medicare PECOS PAC ID | 1759559446 |
|---|---|
| Medicare Enrollment ID | O20110725000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558653253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME70004 (Florida) | Primary |
| Provider Name | Anthony Alatriste |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689603383 PECOS PAC ID: 3577592922 Enrollment ID: I20050806000003 |
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