| 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 |
Ricardo Antonio Henriques M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 503 Delannoy Ave, Cocoa, FL 32922 Phone: 321-631-6995 Fax: 321-633-1004 | |
Brevard Health Alliance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Blake Ave, Bldg G, Cocoa, FL 32922 Phone: 321-633-6391 Fax: 321-633-6441 | |
Steward Medical Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1317 W Point Dr, Cocoa, FL 32922 Phone: 615-467-4158 Fax: 615-467-1267 | |
Brevard Health Alliance Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Pineda St, Cocoa, FL 32922 Phone: 321-241-6800 Fax: 321-241-6888 | |
Rameshwar N Mathur Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6250 N Us 1, Cocoa, FL 32927 Phone: 321-631-6402 Fax: 321-633-7041 | |
Shane C Hernesman Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 505 Delannoy Ave, Cocoa, FL 32922 Phone: 321-631-4940 Fax: 321-631-4941 |