| Town Center Family Practice Inc | |
|
1043 Town Center Dr. Orange City FL 32763 | |
| (386) 774-0188 | |
| (386) 774-1327 |
| Full Name | Town Center Family Practice Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1043 Town Center Dr., Orange City, Florida |
| Authorized Official Name and Position | Neetu Singh (OWNWER) |
| Authorized Official Contact | 3867740188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Center Family Practice Inc 1043 Town Center Dr. Orange City FL 32763 Ph: (386) 774-0188 | Town Center Family Practice Inc 1043 Town Center Dr. Orange City FL 32763 Ph: (386) 774-0188 |
| NPI Number | 1669585337 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 06/04/2020 |
| Medicare PECOS PAC ID | 8628171303 |
|---|---|
| Medicare Enrollment ID | O20070319000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669585337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Luis E Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871525451 PECOS PAC ID: 3476742677 Enrollment ID: I20110104000918 |
| Provider Name | Neetu Singh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891962916 PECOS PAC ID: 2466697867 Enrollment ID: I20190809002271 |
| Provider Name | Sonja Rhames |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568048353 PECOS PAC ID: 7517347404 Enrollment ID: I20220709000375 |
| Provider Name | Daphny Denard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689296501 PECOS PAC ID: 1456733138 Enrollment ID: I20220727002214 |
| Provider Name | Natalia A Kelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255079414 PECOS PAC ID: 9133501380 Enrollment ID: I20220804000161 |
| Provider Name | Lianet Lantigua Ponce De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265122584 PECOS PAC ID: 7517312556 Enrollment ID: I20231011003867 |
| Provider Name | Koteswara Vemuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922100346 PECOS PAC ID: 7113816943 Enrollment ID: I20231026004287 |
| Provider Name | Astrid Lied |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548034416 PECOS PAC ID: 2365895729 Enrollment ID: I20240201001794 |
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