| Your Care Clinics Llc | |
|
10225 Ulmerton Rd Ste 9a Largo FL 33771 | |
| (727) 588-7600 | |
| (727) 303-3348 |
| Full Name | Your Care Clinics Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10225 Ulmerton Rd Ste 9a, Largo, Florida |
| Authorized Official Name and Position | Phyllis Friedrich (COO) |
| Authorized Official Contact | 7275887665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Care Clinics Llc 10225 Ulmerton Rd Ste 9a Largo FL 33771-3526 Ph: (727) 588-7665 | Your Care Clinics Llc 10225 Ulmerton Rd Ste 9a Largo FL 33771 Ph: (727) 588-7600 |
| NPI Number | 1962510552 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 01/08/2019 |
| Medicare PECOS PAC ID | 8527017524 |
|---|---|
| Medicare Enrollment ID | O20070522000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962510552 | NPI | - | NPPES |
| 277731200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Milind J Shastri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720098544 PECOS PAC ID: 1052360054 Enrollment ID: I20050203000176 |
| Provider Name | Catharine L Odonohoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831584382 PECOS PAC ID: 0749591956 Enrollment ID: I20150615001309 |
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