| Ana Conde Llc | |
|
2428 Clearlake Rd Bldg K Cocoa FL 32922-5722 | |
| (321) 368-3862 | |
| Not Available |
| Full Name | Ana Conde Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2428 Clearlake Rd Bldg K, Cocoa, Florida |
| Authorized Official Name and Position | Ana Conde (OWNER) |
| Authorized Official Contact | 3213683862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ana Conde Llc Po Box 560538 Rockledge FL 32956-0538 Ph: (321) 368-3862 | Ana Conde Llc 2428 Clearlake Rd Bldg K Cocoa FL 32922-5722 Ph: (321) 368-3862 |
| NPI Number | 1023732633 |
|---|---|
| Provider Enumeration Date | 09/27/2022 |
| Last Update Date | 05/17/2023 |
| Medicare PECOS PAC ID | 5597133512 |
|---|---|
| Medicare Enrollment ID | O20221123001274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023732633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Ana Marisol Conde Rosa |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1972674687 PECOS PAC ID: 1254403660 Enrollment ID: I20120712000579 |
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