Valisemd Inc | |
9072 Iron Gate Blvd Milton FL 32570-7759 | |
(850) 390-7173 | |
(850) 390-7174 |
Full Name | Valisemd Inc |
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Speciality | Family Medicine |
Location | 9072 Iron Gate Blvd, Milton, Florida |
Authorized Official Name and Position | Patrick A Blanchard (CEO) |
Authorized Official Contact | 8503907173 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valisemd Inc 9072 Iron Gate Blvd Milton FL 32570-7759 Ph: (850) 390-7175 | Valisemd Inc 9072 Iron Gate Blvd Milton FL 32570-7759 Ph: (850) 390-7173 |
NPI Number | 1386221265 |
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Provider Enumeration Date | 03/26/2021 |
Last Update Date | 09/27/2022 |
Medicare PECOS PAC ID | 1951708932 |
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Medicare Enrollment ID | O20210917000055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386221265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Patrick A Blanchard |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1760581888 PECOS PAC ID: 9931262318 Enrollment ID: I20160608002055 |
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