Tnaeemmd Lc | |
265 Ne 19th Dr Okeechobee FL 34972-1933 | |
(863) 357-0104 | |
(863) 357-3025 |
Full Name | Tnaeemmd Lc |
---|---|
Speciality | Internal Medicine |
Location | 265 Ne 19th Dr, Okeechobee, Florida |
Authorized Official Name and Position | Tahir Naeem (OWNER) |
Authorized Official Contact | 8633570104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tnaeemmd Lc Po Box 490 Okeechobee FL 34973-0490 Ph: (863) 357-0104 | Tnaeemmd Lc 265 Ne 19th Dr Okeechobee FL 34972-1933 Ph: (863) 357-0104 |
NPI Number | 1881174779 |
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Provider Enumeration Date | 08/20/2018 |
Last Update Date | 03/21/2024 |
Medicare PECOS PAC ID | 8729327655 |
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Medicare Enrollment ID | O20190311002066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881174779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Tahir Naeem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801820337 PECOS PAC ID: 1850390006 Enrollment ID: I20061215000435 |
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