| Dove Medical Clinic Llc | |
|
35600 Us Hwy 27 N Haines City FL 33844-3731 | |
| (863) 420-5544 | |
| Not Available |
| Full Name | Dove Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 35600 Us Hwy 27 N, Haines City, Florida |
| Authorized Official Name and Position | Stephanie Renee Dove (OWNER) |
| Authorized Official Contact | 7207371668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dove Medical Clinic Llc Po Box 626 Loughman FL 33858-0626 Ph: (720) 737-1668 | Dove Medical Clinic Llc 35600 Us Hwy 27 N Haines City FL 33844-3731 Ph: (863) 420-5544 |
| NPI Number | 1578384996 |
|---|---|
| Provider Enumeration Date | 10/18/2024 |
| Last Update Date | 12/10/2024 |
| Medicare PECOS PAC ID | 4789114265 |
|---|---|
| Medicare Enrollment ID | O20250213000923 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578384996 | NPI | - | NPPES |
| Provider Name | Stephanie Dove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205490059 PECOS PAC ID: 4688049018 Enrollment ID: I20250213000989 |
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