| The Mayflower Retirement Center, Inc. | |
|
1620 Mayflower Ct Winter Park FL 32792-2500 | |
| (407) 672-1620 | |
| (321) 397-1198 |
| Full Name | The Mayflower Retirement Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1620 Mayflower Ct, Winter Park, Florida |
| Authorized Official Name and Position | David L Mcguffin (PRESIDENT/CEO) |
| Authorized Official Contact | 4076721620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mayflower Retirement Center, Inc. 1620 Mayflower Ct Winter Park FL 32792-2500 Ph: (407) 672-1620 | The Mayflower Retirement Center, Inc. 1620 Mayflower Ct Winter Park FL 32792-2500 Ph: (407) 672-1620 |
| NPI Number | 1982641924 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3375565195 |
|---|---|
| Medicare Enrollment ID | O20060606000233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982641924 | NPI | - | NPPES |
| LICENSE | Other | FL | HCC6889 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | HCC6889 (Florida) | Primary |
| Provider Name | Jesus B Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750518569 PECOS PAC ID: 9335285766 Enrollment ID: I20091015000080 |
| Provider Name | Shwetanshu M. Shukla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588861751 PECOS PAC ID: 2062559271 Enrollment ID: I20091021000060 |
| Provider Name | Eduardo Diaz |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1902043771 PECOS PAC ID: 6305974601 Enrollment ID: I20100506000853 |
| Provider Name | Noureen Akbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306138623 PECOS PAC ID: 7214115740 Enrollment ID: I20110701000155 |
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