Tricounty Health Llc | |
753 Highway 466 Lady Lake FL 32159-6340 | |
(732) 335-6516 | |
Not Available |
Full Name | Tricounty Health Llc |
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Speciality | Internal Medicine |
Location | 753 Highway 466, Lady Lake, Florida |
Authorized Official Name and Position | Shrikanth Upadya (PRESIDENT) |
Authorized Official Contact | 3527268353 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tricounty Health Llc 753 Highway 466 Lady Lake FL 32159-6340 Ph: () - | Tricounty Health Llc 753 Highway 466 Lady Lake FL 32159-6340 Ph: (732) 335-6516 |
NPI Number | 1619435179 |
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Provider Enumeration Date | 03/04/2019 |
Last Update Date | 06/14/2019 |
Medicare PECOS PAC ID | 0244565455 |
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Medicare Enrollment ID | O20190710002906 |
Identifier | Type | State | Issuer |
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1619435179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Nanjappa Chandramohan |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1699772574 PECOS PAC ID: 2769420819 Enrollment ID: I20050420000412 |
Provider Name | Omar Quiles |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1154467553 PECOS PAC ID: 9739249962 Enrollment ID: I20081118000714 |
Provider Name | Vladimir Senatorov |
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Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1679881809 PECOS PAC ID: 9739495367 Enrollment ID: I20150827002225 |
Provider Name | Michael J Sforzini |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124066402 PECOS PAC ID: 8224168463 Enrollment ID: I20190521000519 |
Provider Name | Lilia J Aguila |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326698424 PECOS PAC ID: 2466783394 Enrollment ID: I20191008001619 |
Provider Name | Jaivir Singh Rathore |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1932355971 PECOS PAC ID: 6507176831 Enrollment ID: I20191016000955 |
Provider Name | Jyothsna Priyadarshini Bandaru |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013362086 PECOS PAC ID: 5092075010 Enrollment ID: I20191216002642 |
Provider Name | Daniel Kan |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1609805977 PECOS PAC ID: 8921051749 Enrollment ID: I20210625000518 |
Provider Name | Yanine Maria Velasquez |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1093236515 PECOS PAC ID: 2466854278 Enrollment ID: I20210715001376 |
Provider Name | Racha Cassard |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508422809 PECOS PAC ID: 0143683904 Enrollment ID: I20230825002074 |
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Vqol Primary Care Physician Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8550 Ne 138th Ln Ste 102, Lady Lake, FL 32159 Phone: 352-314-2922 | |
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