| Doc 2 Door Concierge LLC | |
|
13266 Byrd Dr Ste 100-223 Odessa FL 33556-5319 | |
| (941) 702-0010 | |
| Not Available |
| Full Name | Doc 2 Door Concierge LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 13266 Byrd Dr Ste 100-223, Odessa, Florida |
| Authorized Official Name and Position | Nadeem G Qazi (PRESIDENT) |
| Authorized Official Contact | 9417020010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc 2 Door Concierge LLC 13266 Byrd Dr Ste 100-223 Odessa FL 33556-5319 Ph: (941) 702-0010 | Doc 2 Door Concierge LLC 13266 Byrd Dr Ste 100-223 Odessa FL 33556-5319 Ph: (941) 702-0010 |
| NPI Number | 1154102986 |
|---|---|
| Provider Enumeration Date | 10/09/2023 |
| Last Update Date | 12/10/2024 |
| Certification Date | 12/10/2024 |
| Medicare PECOS PAC ID | 4880038066 |
|---|---|
| Medicare Enrollment ID | O20240215001461 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154102986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Nadeem Qazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760590012 PECOS PAC ID: 7719051044 Enrollment ID: I20230919003175 |
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