True Care Docs Llc | |
8613 Old Kings Rd S Unit 303 Jacksonville FL 32217-4807 | |
(904) 527-1055 | |
Not Available |
Full Name | True Care Docs Llc |
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Speciality | Family Medicine |
Location | 8613 Old Kings Rd S, Jacksonville, Florida |
Authorized Official Name and Position | Pradeep Khanna (MD/CREDENTIALING) |
Authorized Official Contact | 9045271055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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True Care Docs Llc 8613 Old Kings Rd S Unit 303 Jacksonville FL 32217-4807 Ph: (904) 527-1055 | True Care Docs Llc 8613 Old Kings Rd S Unit 303 Jacksonville FL 32217-4807 Ph: (904) 527-1055 |
NPI Number | 1104372507 |
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Provider Enumeration Date | 08/27/2016 |
Last Update Date | 08/27/2016 |
Medicare PECOS PAC ID | 3971881657 |
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Medicare Enrollment ID | O20161101000298 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104372507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ACN514 (Florida) | Primary |
Provider Name | Pradeep Khanna |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659705762 PECOS PAC ID: 7719112101 Enrollment ID: I20131018001342 |
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