| Winter Park Family Practice Llc | |
|
1400 S Orlando Ave Ste 204 Winter Park FL 32789-5543 | |
| (407) 647-4008 | |
| (407) 647-3207 |
| Full Name | Winter Park Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 S Orlando Ave, Winter Park, Florida |
| Authorized Official Name and Position | Varesh Patel (OWNER) |
| Authorized Official Contact | 7278232188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Park Family Practice Llc Po Box 21406 Tampa FL 33622-1406 Ph: (727) 823-2188 | Winter Park Family Practice Llc 1400 S Orlando Ave Ste 204 Winter Park FL 32789-5543 Ph: (407) 647-4008 |
| NPI Number | 1740268929 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 12/05/2013 |
| Medicare PECOS PAC ID | 8729003595 |
|---|---|
| Medicare Enrollment ID | O20051011000383 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740268929 | NPI | - | NPPES |
| DQ6581 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Varesh R Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760461289 PECOS PAC ID: 2163447939 Enrollment ID: I20110523000649 |
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