| Wekiva Health Care Pa Llc | |
|
3328 E Semoran Blvd Apopka FL 32703-6003 | |
| (407) 869-6661 | |
| (407) 869-6226 |
| Full Name | Wekiva Health Care Pa Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3328 E Semoran Blvd, Apopka, Florida |
| Authorized Official Name and Position | Hayat M Heriba (OWNER) |
| Authorized Official Contact | 4078696661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wekiva Health Care Pa Llc 3328 E Semoran Blvd Apopka FL 32703-6003 Ph: (407) 869-6661 | Wekiva Health Care Pa Llc 3328 E Semoran Blvd Apopka FL 32703-6003 Ph: (407) 869-6661 |
| NPI Number | 1184810483 |
|---|---|
| Provider Enumeration Date | 09/20/2007 |
| Last Update Date | 05/22/2008 |
| Medicare PECOS PAC ID | 9234262700 |
|---|---|
| Medicare Enrollment ID | O20100804000561 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184810483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Hayat M Heriba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780642496 PECOS PAC ID: 8123151693 Enrollment ID: I20100804000600 |
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