| Brooksville Primary Care | |
|
14540 Cortez Blvd Suite # 116 Brooksville FL 34613-6056 | |
| (352) 797-9677 | |
| (352) 797-9857 |
| Full Name | Brooksville Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 14540 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Syed Wajahat Ali (PRESIDENT) |
| Authorized Official Contact | 3527979677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooksville Primary Care 11451 Cortez Blvd Brooksville FL 34613-7367 Ph: (352) 797-9677 | Brooksville Primary Care 14540 Cortez Blvd Suite # 116 Brooksville FL 34613-6056 Ph: (352) 797-9677 |
| NPI Number | 1164693537 |
|---|---|
| Provider Enumeration Date | 03/13/2008 |
| Last Update Date | 09/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164693537 | NPI | - | NPPES |
| 264459200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME83482 (Florida) | Primary |
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Brooksville Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11329 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-5052 Fax: 352-596-5244 | |
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