| You And Your Health Family Care Inc | |
|
1840 Classique Ln Tavares FL 32778-5748 | |
| (352) 508-5046 | |
| (352) 508-5048 |
| Full Name | You And Your Health Family Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 1840 Classique Ln, Tavares, Florida |
| Authorized Official Name and Position | Perth Agusta Blake (OWNER) |
| Authorized Official Contact | 3525085046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| You And Your Health Family Care Inc Po Box 1245 Tavares FL 32778-1245 Ph: (352) 508-5046 | You And Your Health Family Care Inc 1840 Classique Ln Tavares FL 32778-5748 Ph: (352) 508-5046 |
| NPI Number | 1972696011 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 03/16/2012 |
| Medicare PECOS PAC ID | 9335282771 |
|---|---|
| Medicare Enrollment ID | O20100206000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972696011 | NPI | - | NPPES |
| 31711Y | Other | FL | MEDICARE ID |
| 31711 | Other | FL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0069890 (Florida) | Primary |
| Provider Name | Perth A Blake |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063505105 PECOS PAC ID: 7517000953 Enrollment ID: I20100206000162 |
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