| Apollo Primary Care, LLC | |
|
721 Ciara Creek Cv Longwood FL 32750-4659 | |
| (407) 887-7565 | |
| (407) 887-1955 |
| Full Name | Apollo Primary Care, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 721 Ciara Creek Cv, Longwood, Florida |
| Authorized Official Name and Position | Sivapriya Kumar (PHYSICIAN) |
| Authorized Official Contact | 4078877565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apollo Primary Care, LLC 721 Ciara Creek Cv Longwood FL 32750-4659 Ph: (407) 887-7565 | Apollo Primary Care, LLC 721 Ciara Creek Cv Longwood FL 32750-4659 Ph: (407) 887-7565 |
| NPI Number | 1043960750 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 06/28/2023 |
| Certification Date | 06/28/2023 |
| Medicare PECOS PAC ID | 1052794740 |
|---|---|
| Medicare Enrollment ID | O20220812001258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043960750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Sivapriya Kumar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1639371784 PECOS PAC ID: 9032289848 Enrollment ID: I20080605000649 |
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