Total Family Health Care, Inc. | |
3115 Citrus Tower Blvd Suite A Clermont FL 34711-6880 | |
(352) 394-4237 | |
Not Available |
Full Name | Total Family Health Care, Inc. |
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Speciality | Family Medicine |
Location | 3115 Citrus Tower Blvd, Clermont, Florida |
Authorized Official Name and Position | Cara Jakob (OWNER) |
Authorized Official Contact | 3523944237 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Total Family Health Care, Inc. Po Box 120550 Clermont FL 34712-0550 Ph: (352) 394-4237 | Total Family Health Care, Inc. 3115 Citrus Tower Blvd Suite A Clermont FL 34711-6880 Ph: (352) 394-4237 |
NPI Number | 1861401226 |
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Provider Enumeration Date | 08/05/2006 |
Last Update Date | 10/20/2010 |
Medicare PECOS PAC ID | 0446144786 |
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Medicare Enrollment ID | O20040209001098 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861401226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Cara L Jakob |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376564542 PECOS PAC ID: 9133013485 Enrollment ID: I20050507000036 |
Provider Name | Stacey Lynn Rivera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922497601 PECOS PAC ID: 0042537045 Enrollment ID: I20150401001649 |
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