| Ednem Medical Services, Pa | |
|
7148 Curry Ford Rd Ste 100 Orlando FL 32822-5803 | |
| (407) 482-2221 | |
| (407) 482-2284 |
| Full Name | Ednem Medical Services, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 7148 Curry Ford Rd Ste 100, Orlando, Florida |
| Authorized Official Name and Position | Edsel Jeronimo Comenencia (PHYSICIAN) |
| Authorized Official Contact | 4074822221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ednem Medical Services, Pa 7148 Curry Ford Rd Ste 100 Orlando FL 32822-5803 Ph: (407) 482-2221 | Ednem Medical Services, Pa 7148 Curry Ford Rd Ste 100 Orlando FL 32822-5803 Ph: (407) 482-2221 |
| NPI Number | 1386783520 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 12/04/2009 |
| Medicare PECOS PAC ID | 9537121512 |
|---|---|
| Medicare Enrollment ID | O20041102000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386783520 | NPI | - | NPPES |
| 266610300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Nema Cabangal Oriel-comenencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184625675 PECOS PAC ID: 0446395511 Enrollment ID: I20100302000179 |
| Provider Name | Edsel Jeronimo Comenencia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942201561 PECOS PAC ID: 5395701296 Enrollment ID: I20100609000151 |
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