| Apollo Healthcare Associates Llc | |
|
1326 Malabar Rd Se Ste 3 Palm Bay FL 32907-2502 | |
| (321) 409-6100 | |
| (321) 409-6063 |
| Full Name | Apollo Healthcare Associates Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1326 Malabar Rd Se Ste 3, Palm Bay, Florida |
| Authorized Official Name and Position | Pamela L Ojha (OWNER/PHYSICIAN) |
| Authorized Official Contact | 3215063985 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo Healthcare Associates Llc 1326 Malabar Rd Se Ste 3 Palm Bay FL 32907-2502 Ph: (321) 409-6100 | Apollo Healthcare Associates Llc 1326 Malabar Rd Se Ste 3 Palm Bay FL 32907-2502 Ph: (321) 409-6100 |
| NPI Number | 1114397809 |
|---|---|
| Provider Enumeration Date | 10/07/2015 |
| Last Update Date | 09/05/2024 |
| Medicare PECOS PAC ID | 2961712575 |
|---|---|
| Medicare Enrollment ID | O20151111001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114397809 | NPI | - | NPPES |
| 263030300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Pamela L Ojha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730137282 PECOS PAC ID: 1254325509 Enrollment ID: I20040412000351 |
| Provider Name | Tricia K Solito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609105246 PECOS PAC ID: 5597950212 Enrollment ID: I20120709000254 |
| Provider Name | Brenda K Clemens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740232230 PECOS PAC ID: 8022041003 Enrollment ID: I20161129001539 |
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