| Advance Neuropathy Institute Llc | |
|
3027 Aloma Ave Winter Park FL 32792-3702 | |
| (406) 813-4784 | |
| Not Available |
| Full Name | Advance Neuropathy Institute Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3027 Aloma Ave, Winter Park, Florida |
| Authorized Official Name and Position | Pamela Wagener (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 4076242844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Neuropathy Institute Llc 10450 Turkey Lake Rd Unit 691232 Orlando FL 32869-7559 Ph: (407) 624-2844 | Advance Neuropathy Institute Llc 3027 Aloma Ave Winter Park FL 32792-3702 Ph: (406) 813-4784 |
| NPI Number | 1063296929 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 11/20/2023 |
| Medicare PECOS PAC ID | 1658721279 |
|---|---|
| Medicare Enrollment ID | O20231222001112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063296929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tanya R Jilkevorkian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003564014 PECOS PAC ID: 2062892201 Enrollment ID: I20220706002928 |
| Provider Name | Anabelle Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427716729 PECOS PAC ID: 8022463645 Enrollment ID: I20231023001377 |
| Provider Name | Tarice Cheryel Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548745169 PECOS PAC ID: 5294184198 Enrollment ID: I20231218000027 |
| Provider Name | Prabhat Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013988286 PECOS PAC ID: 1951437797 Enrollment ID: I20231222001209 |
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