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1201 S Orlando Ave Suite 132 Maitland FL 32751-6424 | |
(407) 663-7447 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 1201 S Orlando Ave, Maitland, Florida |
Authorized Official Name and Position | Monica Sher (PHYSICIAN) |
Authorized Official Contact | 7542463196 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1353 Aloma Ave Winter Park FL 32789-3919 Ph: (754) 246-3196 | 1201 S Orlando Ave Suite 132 Maitland FL 32751-6424 Ph: (407) 663-7447 |
NPI Number | 1457032617 |
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Provider Enumeration Date | 07/28/2023 |
Last Update Date | 05/02/2024 |
Medicare PECOS PAC ID | 5395288351 |
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Medicare Enrollment ID | O20240618003170 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457032617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Monica G Sher |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417400425 PECOS PAC ID: 7618210899 Enrollment ID: I20190510001861 |
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