Vanguard Medical Center Llc | |
711 S Highway 27 Suite E Clermont FL 34711-2791 | |
(352) 243-9355 | |
(352) 243-9334 |
Full Name | Vanguard Medical Center Llc |
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Speciality | Clinic/Center |
Location | 711 S Highway 27, Clermont, Florida |
Authorized Official Name and Position | Frandzie Daphnis (VICE PRESIDENT) |
Authorized Official Contact | 3522439355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vanguard Medical Center Llc 711 S Highway 27 Suite E Clermont FL 34711-2791 Ph: (352) 243-9355 | Vanguard Medical Center Llc 711 S Highway 27 Suite E Clermont FL 34711-2791 Ph: (352) 243-9355 |
NPI Number | 1689948069 |
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Provider Enumeration Date | 03/01/2012 |
Last Update Date | 02/26/2013 |
Medicare PECOS PAC ID | 7315183621 |
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Medicare Enrollment ID | O20130411000108 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689948069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Frandzie Daphnis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932182672 PECOS PAC ID: 2860420114 Enrollment ID: I20050728000946 |
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