| Ave Maria Primary Care, LLC | |
|
5080 Annunciation Cir Unit 103 Ave Maria FL 34142-9655 | |
| (239) 322-0917 | |
| (239) 658-5143 |
| Full Name | Ave Maria Primary Care, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 5080 Annunciation Cir Unit 103, Ave Maria, Florida |
| Authorized Official Name and Position | Carolina Mena (OFFICE MANAGER) |
| Authorized Official Contact | 2393220917 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ave Maria Primary Care, LLC 5080 Annunciation Cir Unit 103 Ave Maria FL 34142-9655 Ph: (239) 322-0917 | Ave Maria Primary Care, LLC 5080 Annunciation Cir Unit 103 Ave Maria FL 34142-9655 Ph: (239) 322-0917 |
| NPI Number | 1962226381 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/25/2024 |
| Certification Date | 11/25/2024 |
| Medicare PECOS PAC ID | 9830602176 |
|---|---|
| Medicare Enrollment ID | O20250701000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962226381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
| Provider Name | Raul Enad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659342079 PECOS PAC ID: 9032131479 Enrollment ID: I20220609001505 |
Ave Maria Chiropractic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5080 Annunciation Cir, Suite 104, Ave Maria, FL 34142 Phone: 239-348-1696 |
Ave Maria Hospitalist Group, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5080 Annunciation Cir Unit 103, Ave Maria, FL 34142 Phone: 239-322-0917 |
Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5360 Ave Maria Blvd Ste 120, Ave Maria, FL 34142 Phone: 239-658-3000 |
Healthcare Network Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5360 Ave Maria Blvd Ste 120, Ave Maria, FL 34142 Phone: 239-658-3000 |