| Doctorofmedicine, LLC | |
|
14765 Englert Aly Orlando FL 32827-7903 | |
| (786) 247-6187 | |
| (337) 270-2662 |
| Full Name | Doctorofmedicine, LLC |
|---|---|
| Speciality | Preventive Medicine |
| Location | 14765 Englert Aly, Orlando, Florida |
| Authorized Official Name and Position | Manuel Carrazana (PRESIDENT) |
| Authorized Official Contact | 7862476187 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctorofmedicine, LLC 14765 Englert Aly Orlando FL 32827-7903 Ph: (786) 247-6187 | Doctorofmedicine, LLC 14765 Englert Aly Orlando FL 32827-7903 Ph: (786) 247-6187 |
| NPI Number | 1528894284 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Certification Date | 09/10/2024 |
| Medicare PECOS PAC ID | 8628503265 |
|---|---|
| Medicare Enrollment ID | O20241120000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528894284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 2083B0002X | Preventive Medicine - Obesity Medicine | () | Primary |
| Provider Name | Manuel a Carrazana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427551233 PECOS PAC ID: 4183025232 Enrollment ID: I20210625002283 |
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