| Florida Integrative Modern Medicine | |
|
12617 Narcoossee Rd Ste 300 Orlando FL 32832-7147 | |
| (321) 945-6799 | |
| Not Available |
| Full Name | Florida Integrative Modern Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 12617 Narcoossee Rd Ste 300, Orlando, Florida |
| Authorized Official Name and Position | Sumeet Bhavsar (OWNER) |
| Authorized Official Contact | 3219456799 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Integrative Modern Medicine 12617 Narcoossee Rd Ste 300 Orlando FL 32832-7147 Ph: (321) 945-6799 | Florida Integrative Modern Medicine 12617 Narcoossee Rd Ste 300 Orlando FL 32832-7147 Ph: (321) 945-6799 |
| NPI Number | 1043837834 |
|---|---|
| Provider Enumeration Date | 06/29/2020 |
| Last Update Date | 02/05/2021 |
| Medicare PECOS PAC ID | 1153740246 |
|---|---|
| Medicare Enrollment ID | O20200923000067 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043837834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sumeet Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275884280 PECOS PAC ID: 7810204724 Enrollment ID: I20150909002158 |
| Provider Name | Soniya R Bhavsar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184949745 PECOS PAC ID: 1254555832 Enrollment ID: I20161229001844 |
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