| Doctors at Home Tri County | |
|
11954 Narcoossee Rd Ste 2 #504 Orlando FL 32832-6998 | |
| (800) 925-1840 | |
| (800) 521-9406 |
| Full Name | Doctors at Home Tri County |
|---|---|
| Speciality | Clinic/Center |
| Location | 11954 Narcoossee Rd Ste 2 #504, Orlando, Florida |
| Authorized Official Name and Position | Rafael Gonzalez (PRESIDENT) |
| Authorized Official Contact | 4074218553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctors at Home Tri County 11954 Narcoossee Rd Ste 2 #504 Orlando FL 32832-6998 Ph: (800) 925-1840 | Doctors at Home Tri County 11954 Narcoossee Rd Ste 2 #504 Orlando FL 32832-6998 Ph: (800) 925-1840 |
| NPI Number | 1497168173 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 09/19/2022 |
| Certification Date | 06/16/2022 |
| Medicare PECOS PAC ID | 2567773849 |
|---|---|
| Medicare Enrollment ID | O20150615000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497168173 | NPI | - | NPPES |
| ISUN3 | Other | FL | BCBS |
| 015701100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Chris L Crutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851480446 PECOS PAC ID: 8123129129 Enrollment ID: I20070720000385 |
| Provider Name | Kathryn Nantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427071711 PECOS PAC ID: 2860577988 Enrollment ID: I20080312000652 |
| Provider Name | Nicole Eversley-hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952586653 PECOS PAC ID: 6002970506 Enrollment ID: I20090128000305 |
| Provider Name | Robert B Powers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578637112 PECOS PAC ID: 3173665106 Enrollment ID: I20100128000565 |
| Provider Name | Adeline Schaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760837025 PECOS PAC ID: 0244523934 Enrollment ID: I20180810002901 |
| Provider Name | Roseline Saint-fort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073082418 PECOS PAC ID: 3971839341 Enrollment ID: I20190723001211 |
| Provider Name | Canaan Maffeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215520937 PECOS PAC ID: 8921414483 Enrollment ID: I20210308001455 |
| Provider Name | Elba L Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790228385 PECOS PAC ID: 4587073309 Enrollment ID: I20210507001250 |
| Provider Name | Kimberly Kay Hamby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659916708 PECOS PAC ID: 7810306636 Enrollment ID: I20210507001258 |
| Provider Name | Yudit Lopez Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679170187 PECOS PAC ID: 3476951872 Enrollment ID: I20211015002112 |
| Provider Name | Marni Rene Lord |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073198354 PECOS PAC ID: 1052709995 Enrollment ID: I20211027000299 |
| Provider Name | Milena Villalon Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728189 PECOS PAC ID: 5092152660 Enrollment ID: I20240319003343 |
| Provider Name | Kayla Brant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457212664 PECOS PAC ID: 7012495898 Enrollment ID: I20260203000207 |
| Provider Name | Maria Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770478745 PECOS PAC ID: 9133698004 Enrollment ID: I20260520001825 |
Instant Medical Care LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7300 Sandlake Commons Blvd Ste 227, Orlando, FL 32819 Phone: 407-426-4099 Fax: 407-809-5243 |
Evoyent Health Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 S Orange Ave Ste 900, Orlando, FL 32801 Phone: 321-282-1999 |
Orlando Family Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 425 W Colonial Dr Ste 303, Orlando, FL 32804 Phone: 321-332-6947 Fax: 407-286-4515 |
The Concierge Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8976 Conroy Windermere Rd, Orlando, FL 32835 Phone: 321-848-4986 |
Spartan Medical Men's Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9145 Narcoossee Rd Ste A102, Orlando, FL 32827 Phone: 407-703-6020 |
Abid Rasool, M.D., P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4501 S Semoran Blvd, Orlando, FL 32822 Phone: 407-380-1428 |