| Central Florida Infectious Diseases Group Pl | |
|
316 Groveland St Orlando FL 32804-4019 | |
| (407) 896-9660 | |
| (407) 896-9661 |
| Full Name | Central Florida Infectious Diseases Group Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 316 Groveland St, Orlando, Florida |
| Authorized Official Name and Position | Cheryl Pacha (OFFICE MANAGER) |
| Authorized Official Contact | 4078969660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Infectious Diseases Group Pl 316 Groveland St Orlando FL 32804-4019 Ph: (407) 896-9660 | Central Florida Infectious Diseases Group Pl 316 Groveland St Orlando FL 32804-4019 Ph: (407) 896-9660 |
| NPI Number | 1295990497 |
|---|---|
| Provider Enumeration Date | 07/28/2008 |
| Last Update Date | 08/21/2024 |
| Certification Date | 08/21/2024 |
| Medicare PECOS PAC ID | 1850467499 |
|---|---|
| Medicare Enrollment ID | O20080905000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295990497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | James J Mcclelland |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1487605416 PECOS PAC ID: 3274430301 Enrollment ID: I20080905000488 |
| Provider Name | Wilfred Onyia |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1497729610 PECOS PAC ID: 6901880137 Enrollment ID: I20100723000355 |
| Provider Name | Kristina M Jose |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679843106 PECOS PAC ID: 0941445407 Enrollment ID: I20140710002181 |
| Provider Name | Bryson Hodges Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275334096 PECOS PAC ID: 3678091063 Enrollment ID: I20250520000274 |
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