| United Care Team Pllc | |
|
3201 Sw 34th St Ocala FL 34474-7439 | |
| (888) 402-0202 | |
| (888) 860-2960 |
| Full Name | United Care Team Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3201 Sw 34th St, Ocala, Florida |
| Authorized Official Name and Position | Kimberly Miller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2483317908 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Care Team Pllc Po Box 83244 Chicago IL 60691-0244 Ph: (888) 402-0202 | United Care Team Pllc 3201 Sw 34th St Ocala FL 34474-7439 Ph: (888) 402-0202 |
| NPI Number | 1639859549 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 1951759687 |
|---|---|
| Medicare Enrollment ID | O20231118000741 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639859549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly Layne Nall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588028443 PECOS PAC ID: 3870851249 Enrollment ID: I20171213002310 |
| Provider Name | Tammy Paullin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669973020 PECOS PAC ID: 0244593085 Enrollment ID: I20180410000734 |
| Provider Name | Yindra Isaac Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407426463 PECOS PAC ID: 9638516057 Enrollment ID: I20240321000967 |
| Provider Name | Ayeza Mohsin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619235264 PECOS PAC ID: 4385948942 Enrollment ID: I20240606004194 |
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