West Orange Family Medical Care,pa | |
1002 S Dillard St Suite 102 Winter Garden FL 34787 | |
(407) 877-3577 | |
Not Available |
Full Name | West Orange Family Medical Care,pa |
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Speciality | Family Medicine |
Location | 1002 S Dillard St, Winter Garden, Florida |
Authorized Official Name and Position | Michael G Mercado (OWNER) |
Authorized Official Contact | 4078773577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Orange Family Medical Care,pa 1002 S Dillard St Suite 102 Winter Garden FL 34787 Ph: (407) 877-3577 | West Orange Family Medical Care,pa 1002 S Dillard St Suite 102 Winter Garden FL 34787 Ph: (407) 877-3577 |
NPI Number | 1184710295 |
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Provider Enumeration Date | 10/05/2006 |
Last Update Date | 03/26/2014 |
Medicare PECOS PAC ID | 9032183074 |
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Medicare Enrollment ID | O20040824001398 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184710295 | NPI | - | NPPES |
37138700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michael G Mercado |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558404616 PECOS PAC ID: 5395719330 Enrollment ID: I20110118000046 |
Provider Name | Jeffrey T Nelson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295036697 PECOS PAC ID: 2668626268 Enrollment ID: I20130207000181 |
Afid, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14489 Wabasso Loop, Winter Garden, FL 34787 Phone: 877-422-7221 Fax: 305-845-7394 | |
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