| Epca, Inc | |
|
5207 Mason Dixon Ave Bowling Green FL 33834-5095 | |
| (863) 375-3377 | |
| (863) 375-2474 |
| Full Name | Epca, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 5207 Mason Dixon Ave, Bowling Green, Florida |
| Authorized Official Name and Position | Johnny Parker (CEO/PRESIDENT) |
| Authorized Official Contact | 8633753377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epca, Inc 5207 Mason Dixon Ave Bowling Green FL 33834-5095 Ph: (863) 375-3377 | Epca, Inc 5207 Mason Dixon Ave Bowling Green FL 33834-5095 Ph: (863) 375-3377 |
| NPI Number | 1285914150 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285914150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | N/A (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | N/A (* (Not Available)) | Secondary |
Raul P. Palomado, Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 W Main St, Bowling Green, FL 33834 Phone: 863-375-2214 Fax: 863-375-2212 |