Villages Internal Medicine And Senior Clinic Pa | |
3351 Wedgewood Ln The Villages FL 32162-7181 | |
(352) 259-0634 | |
(352) 259-2174 |
Full Name | Villages Internal Medicine And Senior Clinic Pa |
---|---|
Speciality | Internal Medicine |
Location | 3351 Wedgewood Ln, The Villages, Florida |
Authorized Official Name and Position | Winston Evalle (PRESIDENT) |
Authorized Official Contact | 3522590364 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Villages Internal Medicine And Senior Clinic Pa 3351 Wedgewood Ln The Villages FL 32162-7181 Ph: (352) 259-0634 | Villages Internal Medicine And Senior Clinic Pa 3351 Wedgewood Ln The Villages FL 32162-7181 Ph: (352) 259-0634 |
NPI Number | 1801939277 |
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Provider Enumeration Date | 02/15/2007 |
Last Update Date | 11/29/2010 |
Medicare PECOS PAC ID | 8123924081 |
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Medicare Enrollment ID | O20031210001008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801939277 | NPI | - | NPPES |
58634 | Other | FL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME80483 (Florida) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | ME80483 (Florida) | Secondary |
Provider Name | Winston Evalle |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265444202 PECOS PAC ID: 0446156319 Enrollment ID: I20031211000072 |
Martinez Cruz Medical Associates Of The Villages Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 N Us Highway 441, Bldg 920 Ste 922, The Villages, FL 32159 Phone: 352-750-6650 Fax: 352-750-6651 | |
Bethsaida Healthcare System Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 910 Old Camp Rd Ste 144, The Villages, FL 32162 Phone: 352-753-2224 Fax: 353-753-0833 | |
The Villages Regional Hospital East Campus Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, Suite 1830, The Villages, FL 32159 Phone: 352-751-8828 | |
Premier Medical Associates Of Florida Healthcare, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, The Villages, FL 32159 Phone: 352-259-2159 | |
Life Family Practice Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, 1702, The Villages, FL 32159 Phone: 352-750-4333 Fax: 352-750-2034 | |
The Villages Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Us Highway 441, Suite 1404, The Villages, FL 32159 Phone: 352-350-2136 Fax: 352-350-2137 | |
Premier Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1580 Santa Barbara Blvd, Suite C, The Villages, FL 32159 Phone: 352-259-2159 Fax: 352-259-5731 |