Geriatric Care Of Florida Llc | |
1415 Hickory St Melbourne FL 32901-3225 | |
(321) 723-1321 | |
Not Available |
Full Name | Geriatric Care Of Florida Llc |
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Speciality | Internal Medicine |
Location | 1415 Hickory St, Melbourne, Florida |
Authorized Official Name and Position | Peyman E Younesi (OWNER) |
Authorized Official Contact | 7187090940 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Geriatric Care Of Florida Llc 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 | Geriatric Care Of Florida Llc 1415 Hickory St Melbourne FL 32901-3225 Ph: (321) 723-1321 |
NPI Number | 1811699820 |
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Provider Enumeration Date | 03/21/2023 |
Last Update Date | 11/12/2024 |
Medicare PECOS PAC ID | 1658739800 |
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Medicare Enrollment ID | O20230620001915 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811699820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Peyman Younesi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20230620002088 |
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