| Allied Family Health Llc | |
|
3208 Chiquita Blvd S Ste 108 Cape Coral FL 33914-4267 | |
| (800) 933-2076 | |
| Not Available |
| Full Name | Allied Family Health Llc |
|---|---|
| Speciality | General Practice |
| Location | 3208 Chiquita Blvd S Ste 108, Cape Coral, Florida |
| Authorized Official Name and Position | Amy L Gonzalez (PRESIDENT) |
| Authorized Official Contact | 2393193933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Family Health Llc 3208 Chiquita Blvd S Ste 108 Cape Coral FL 33914-4267 Ph: (800) 933-2076 | Allied Family Health Llc 3208 Chiquita Blvd S Ste 108 Cape Coral FL 33914-4267 Ph: (800) 933-2076 |
| NPI Number | 1336800721 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 2567855166 |
|---|---|
| Medicare Enrollment ID | O20220202003033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336800721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Amy L Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275013120 PECOS PAC ID: 8426396268 Enrollment ID: I20190220002559 |
| Provider Name | Aldrich V Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437329661 PECOS PAC ID: 9032264700 Enrollment ID: I20190923001385 |
| Provider Name | Leonilo V Trono |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396992442 PECOS PAC ID: 6406289172 Enrollment ID: I20191211000544 |
| Provider Name | Diana Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639713043 PECOS PAC ID: 2163847559 Enrollment ID: I20200731002631 |
| Provider Name | Dayami Rosales Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063948875 PECOS PAC ID: 4981024775 Enrollment ID: I20201016000372 |
| Provider Name | Nadia D Vazquez Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912491093 PECOS PAC ID: 1153731351 Enrollment ID: I20201029000019 |
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