| Advanced Geriatrics & Primary Care LLC | |
|
9013 University Pkwy Suite G Pensacola FL 32514-9416 | |
| (713) 870-2752 | |
| (832) 415-9400 |
| Full Name | Advanced Geriatrics & Primary Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 9013 University Pkwy, Pensacola, Florida |
| Authorized Official Name and Position | Megumi Maguchi Aldrete (OWNER) |
| Authorized Official Contact | 7138702752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Geriatrics & Primary Care LLC 9013 University Pkwy Suite G Pensacola FL 32514-9416 | Advanced Geriatrics & Primary Care LLC 9013 University Pkwy Suite G Pensacola FL 32514-9416 Ph: (713) 870-2752 |
| NPI Number | 1083027528 |
|---|---|
| Provider Enumeration Date | 06/03/2014 |
| Last Update Date | 06/03/2014 |
| Medicare PECOS PAC ID | 9638398555 |
|---|---|
| Medicare Enrollment ID | O20140908002040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083027528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Nirmal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194799288 PECOS PAC ID: 9739072893 Enrollment ID: I20040204000141 |
| Provider Name | Megumi Maguchi Aldrete |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1417261991 PECOS PAC ID: 2668659491 Enrollment ID: I20120627000615 |
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