| Ambareen Pa | |
|
7109 Nw 11th Pl Gainesville FL 32605-3170 | |
| (352) 331-2890 | |
| (352) 331-2915 |
| Full Name | Ambareen Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 7109 Nw 11th Pl, Gainesville, Florida |
| Authorized Official Name and Position | Farrukh Ambareen (PRESIDENT) |
| Authorized Official Contact | 3523312890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambareen Pa 7109 Nw 11th Pl Gainesville FL 32605-3170 Ph: (352) 331-2890 | Ambareen Pa 7109 Nw 11th Pl Gainesville FL 32605-3170 Ph: (352) 331-2890 |
| NPI Number | 1457884397 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/07/2017 |
| Medicare PECOS PAC ID | 5799052593 |
|---|---|
| Medicare Enrollment ID | O20170526001982 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457884397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME 97329 (Florida) | Primary |
| Provider Name | Farrukh Ambareen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063404457 PECOS PAC ID: 0547364267 Enrollment ID: I20070404000536 |
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