| Altamontemd | |
|
460 E Altamonte Dr Suite 2200 Altamonte Springs FL 32701-4612 | |
| (407) 767-0009 | |
| (407) 767-0022 |
| Full Name | Altamontemd |
|---|---|
| Speciality | Clinic/Center |
| Location | 460 E Altamonte Dr, Altamonte Springs, Florida |
| Authorized Official Name and Position | Rhonda Kanan (COO) |
| Authorized Official Contact | 4077670009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altamontemd 460 E Altamonte Dr Suite 2200 Altamonte Springs FL 32701-4612 Ph: (407) 767-0009 | Altamontemd 460 E Altamonte Dr Suite 2200 Altamonte Springs FL 32701-4612 Ph: (407) 767-0009 |
| NPI Number | 1003369661 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 07/25/2022 |
| Certification Date | 07/25/2022 |
| Medicare PECOS PAC ID | 4486934833 |
|---|---|
| Medicare Enrollment ID | O20161201000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003369661 | NPI | - | NPPES |
| 023512400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| 207N00000X | Dermatology | () | Secondary |
| 207Q00000X | Family Medicine | () | Secondary |
| Provider Name | Lindsey E Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851854103 PECOS PAC ID: 9537493697 Enrollment ID: I20190624000380 |
| Provider Name | Pedro Gonzalez-morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861682270 PECOS PAC ID: 6608929096 Enrollment ID: I20250129001748 |
Real Medical Altamonte Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Marcia Dr, Altamonte Springs, FL 32714 Phone: 407-573-6627 Fax: 407-378-7755 |
Gregory P Samano II DO PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 499 E Central Pkwy Ste 100, Altamonte Springs, FL 32701 Phone: 407-543-3461 Fax: 407-678-0627 |
Mark E. Weigley, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 685 Palm Springs Dr, Suite 1a, Altamonte Springs, FL 32701 Phone: 407-339-5959 Fax: 407-339-5951 |
Beach Medical X4 LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Marcia Dr, Altamonte Springs, FL 32714 Phone: 407-502-0073 |
Mueller Institute for Holistic Medicine PLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Maitland Ave, Ste. 104, Altamonte Springs, FL 32701 Phone: 407-332-5703 Fax: 407-332-5744 |
Cogent Healthcare of Pensacola LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 E Altamonte Dr, Altamonte Springs, FL 32701 Phone: 407-303-2200 |