| Town Center Research And Walk-in Clinic | |
|
955 Town Center Dr Suite 200 Orange City FL 32763-8255 | |
| (407) 435-9075 | |
| (386) 822-4192 |
| Full Name | Town Center Research And Walk-in Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 955 Town Center Dr, Orange City, Florida |
| Authorized Official Name and Position | Godson I Oguchi (PRESIDENT) |
| Authorized Official Contact | 4074359075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Town Center Research And Walk-in Clinic 330 Markham Woods Rd Longwood FL 32779-2830 Ph: (407) 435-9075 | Town Center Research And Walk-in Clinic 955 Town Center Dr Suite 200 Orange City FL 32763-8255 Ph: (407) 435-9075 |
| NPI Number | 1811449879 |
|---|---|
| Provider Enumeration Date | 10/25/2016 |
| Last Update Date | 10/31/2016 |
| Medicare PECOS PAC ID | 7214208891 |
|---|---|
| Medicare Enrollment ID | O20170731002250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811449879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME89341 (Florida) | Primary |
| Provider Name | Godson I Oguchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245200906 PECOS PAC ID: 9436134822 Enrollment ID: I20040621000838 |
| Provider Name | Shawn Yvonne Massaro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134754534 PECOS PAC ID: 5991122921 Enrollment ID: I20200904000402 |
| Provider Name | Juliet Omonme Agbator |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023768942 PECOS PAC ID: 8729456124 Enrollment ID: I20221116000057 |
| Provider Name | Lucky Eromosele Amedu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356882138 PECOS PAC ID: 0446517908 Enrollment ID: I20230614003997 |
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