| West Orange Endocrinology, Pa | |
|
1510 Citrus Medical Ct Ocoee FL 34761-4547 | |
| (407) 480-4830 | |
| Not Available |
| Full Name | West Orange Endocrinology, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1510 Citrus Medical Ct, Ocoee, Florida |
| Authorized Official Name and Position | Jose Mandry (PRESIDENT) |
| Authorized Official Contact | 4076166094 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Orange Endocrinology, Pa 10325 Birch Tree Ln Windermere FL 34786-8021 Ph: (407) 616-6094 | West Orange Endocrinology, Pa 1510 Citrus Medical Ct Ocoee FL 34761-4547 Ph: (407) 480-4830 |
| NPI Number | 1225688237 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 3870925415 |
|---|---|
| Medicare Enrollment ID | O20191119003127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225688237 | NPI | - | NPPES |
| 207RE010X | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Jose M Mandry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386674794 PECOS PAC ID: 3577538354 Enrollment ID: I20191120001146 |
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