| Audwin B Nelson Md P A | |
|
4215 Sun N Lake Blvd Sebring FL 33872-2158 | |
| (863) 471-2320 | |
| (863) 471-2101 |
| Full Name | Audwin B Nelson Md P A |
|---|---|
| Speciality | Internal Medicine |
| Location | 4215 Sun N Lake Blvd, Sebring, Florida |
| Authorized Official Name and Position | Audwin Bruce Nelson (PRESIDENT) |
| Authorized Official Contact | 8634712320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Audwin B Nelson Md P A 4215 Sun N Lake Blvd Sebring FL 33872-2158 Ph: (863) 471-2320 | Audwin B Nelson Md P A 4215 Sun N Lake Blvd Sebring FL 33872-2158 Ph: (863) 471-2320 |
| NPI Number | 1104064245 |
|---|---|
| Provider Enumeration Date | 01/28/2009 |
| Last Update Date | 10/06/2010 |
| Medicare PECOS PAC ID | 8224185293 |
|---|---|
| Medicare Enrollment ID | O20090408000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104064245 | NPI | - | NPPES |
| 266302300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME86834 (Florida) | Primary |
| Provider Name | Audwin Nelson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467453126 PECOS PAC ID: 3375690498 Enrollment ID: I20090407000367 |
| Provider Name | Rebeca Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184113094 PECOS PAC ID: 9133548514 Enrollment ID: I20201005000889 |
| Provider Name | Rachel Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114523263 PECOS PAC ID: 5597164442 Enrollment ID: I20210525002626 |
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