| Winter Park Internal Medicine Md Pa | |
|
1855 Hollywood Avenue Winter Park FL 32789-4093 | |
| (407) 645-2334 | |
| Not Available |
| Full Name | Winter Park Internal Medicine Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1855 Hollywood Avenue, Winter Park, Florida |
| Authorized Official Name and Position | John D Mancini (PRESIDENT) |
| Authorized Official Contact | 4076452334 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winter Park Internal Medicine Md Pa 1855 Hollywood Avenue Winter Park FL 32789-4093 Ph: (407) 645-2334 | Winter Park Internal Medicine Md Pa 1855 Hollywood Avenue Winter Park FL 32789-4093 Ph: (407) 645-2334 |
| NPI Number | 1679599278 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/06/2020 |
| Medicare PECOS PAC ID | 2567528607 |
|---|---|
| Medicare Enrollment ID | O20090225000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679599278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | John Daniel Mancini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093828071 PECOS PAC ID: 2062402795 Enrollment ID: I20040514000838 |
| Provider Name | Elizabeth Estrada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427046663 PECOS PAC ID: 3476689357 Enrollment ID: I20100330000896 |
| Provider Name | Jay N Rayan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174584676 PECOS PAC ID: 8426010158 Enrollment ID: I20120329000320 |
| Provider Name | Gretchen L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730238411 PECOS PAC ID: 6305121724 Enrollment ID: I20170328001088 |
| Provider Name | Jason Lee Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235696915 PECOS PAC ID: 0446604912 Enrollment ID: I20240404004320 |
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