| University Family Medicine Center Pa | |
|
10055 University Blvd Orlando FL 32817-1902 | |
| (407) 679-4800 | |
| (407) 679-0574 |
| Full Name | University Family Medicine Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10055 University Blvd, Orlando, Florida |
| Authorized Official Name and Position | Ronald R. Burns (PRESIDENT) |
| Authorized Official Contact | 4076794800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Family Medicine Center Pa 10055 University Blvd Orlando FL 32817-1902 Ph: (407) 679-4800 | University Family Medicine Center Pa 10055 University Blvd Orlando FL 32817-1902 Ph: (407) 679-4800 |
| NPI Number | 1861672479 |
|---|---|
| Provider Enumeration Date | 11/12/2007 |
| Last Update Date | 07/18/2010 |
| Medicare PECOS PAC ID | 6406988096 |
|---|---|
| Medicare Enrollment ID | O20100716000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861672479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Ana H Greenwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881925907 PECOS PAC ID: 0840325635 Enrollment ID: I20100318000418 |
| Provider Name | Ronald Ray Burns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457453391 PECOS PAC ID: 0244362887 Enrollment ID: I20100719000211 |
| Provider Name | Kathleen Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972875508 PECOS PAC ID: 6002067345 Enrollment ID: I20190222000822 |
| Provider Name | Sarah M Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558810085 PECOS PAC ID: 1254610397 Enrollment ID: I20200508000249 |
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