| Onemed Florida Llc | |
|
10129 Clear Vista St Orlando FL 32832-7164 | |
| (833) 663-6331 | |
| (833) 673-0418 |
| Full Name | Onemed Florida Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10129 Clear Vista St, Orlando, Florida |
| Authorized Official Name and Position | Reynald Lamarre (MD) |
| Authorized Official Contact | 8336636331 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onemed Florida Llc 10129 Clear Vista St Orlando FL 32832-7164 Ph: (833) 663-6331 | Onemed Florida Llc 10129 Clear Vista St Orlando FL 32832-7164 Ph: (833) 663-6331 |
| NPI Number | 1629603436 |
|---|---|
| Provider Enumeration Date | 03/12/2020 |
| Last Update Date | 04/06/2022 |
| Certification Date | 04/06/2022 |
| Medicare PECOS PAC ID | 3971904442 |
|---|---|
| Medicare Enrollment ID | O20210622003036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629603436 | NPI | - | NPPES |
| Provider Name | Luis Allen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720035058 PECOS PAC ID: 2163574146 Enrollment ID: I20090722000670 |
| Provider Name | Rajen S Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285861443 PECOS PAC ID: 2961659073 Enrollment ID: I20131227001408 |
| Provider Name | Sonita Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497048938 PECOS PAC ID: 6901026400 Enrollment ID: I20160601000913 |
| Provider Name | Reynald Lamarre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144668229 PECOS PAC ID: 7012219157 Enrollment ID: I20160906000340 |
| Provider Name | Peter Paythal Ganpat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255650081 PECOS PAC ID: 3779895958 Enrollment ID: I20170822001301 |
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