Hana J. Clements, M.d., Llc | |
1629 Lakeland Hills Blvd Lakeland FL 33805-3025 | |
(863) 687-9333 | |
(863) 686-0160 |
Full Name | Hana J. Clements, M.d., Llc |
---|---|
Speciality | Internal Medicine |
Location | 1629 Lakeland Hills Blvd, Lakeland, Florida |
Authorized Official Name and Position | Hana J. Clements (OWNER) |
Authorized Official Contact | 8636879333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Hana J. Clements, M.d., Llc 1629 Lakeland Hills Blvd Lakeland FL 33805-3025 Ph: (863) 687-9333 | Hana J. Clements, M.d., Llc 1629 Lakeland Hills Blvd Lakeland FL 33805-3025 Ph: (863) 687-9333 |
NPI Number | 1861665184 |
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Provider Enumeration Date | 04/08/2008 |
Last Update Date | 06/12/2025 |
Medicare PECOS PAC ID | 9335169606 |
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Medicare Enrollment ID | O20100802000242 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861665184 | NPI | - | NPPES |
110009729 | Other | CT | MEDICARE INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 035623 (Connecticut) | Primary |
Provider Name | Hana J Clements |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871518381 PECOS PAC ID: 0042273153 Enrollment ID: I20100802000218 |
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