| City Healthcare, Llc | |
|
1920 Don Wickham Dr Ste 140 Clermont FL 34711-1978 | |
| (523) 227-3341 | |
| Not Available |
| Full Name | City Healthcare, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1920 Don Wickham Dr Ste 140, Clermont, Florida |
| Authorized Official Name and Position | Aasma Riaz (PRESIDENT) |
| Authorized Official Contact | 3522273341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Healthcare, Llc 1920 Don Wickham Dr Ste 140 Clermont FL 34711-1978 Ph: () - | City Healthcare, Llc 1920 Don Wickham Dr Ste 140 Clermont FL 34711-1978 Ph: (523) 227-3341 |
| NPI Number | 1346740214 |
|---|---|
| Provider Enumeration Date | 02/17/2018 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 8527322304 |
|---|---|
| Medicare Enrollment ID | O20180502001234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346740214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Aasma Riaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497981187 PECOS PAC ID: 6507008927 Enrollment ID: I20150729008076 |
| Provider Name | Ashley Megan Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063094514 PECOS PAC ID: 1658776760 Enrollment ID: I20210826002474 |
| Provider Name | Adam Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427779008 PECOS PAC ID: 2163894890 Enrollment ID: I20230207000896 |
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