| Healthcare Partners Family Medicine Llc | |
|
1501 Us Hwy 441 N Suite 1702-1704 The Villages FL 32159-6802 | |
| (352) 750-4333 | |
| (352) 750-2023 |
| Full Name | Healthcare Partners Family Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1501 Us Hwy 441 N, The Villages, Florida |
| Authorized Official Name and Position | Nelson Kraucak (CEO) |
| Authorized Official Contact | 3527504333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare Partners Family Medicine Llc 1501 Us Hwy 441 N Suite 1702-1704 The Villages FL 32159-6802 Ph: (352) 750-4333 | Healthcare Partners Family Medicine Llc 1501 Us Hwy 441 N Suite 1702-1704 The Villages FL 32159-6802 Ph: (352) 750-4333 |
| NPI Number | 1902242837 |
|---|---|
| Provider Enumeration Date | 05/19/2013 |
| Last Update Date | 09/18/2015 |
| Medicare PECOS PAC ID | 9537308739 |
|---|---|
| Medicare Enrollment ID | O20130619000527 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902242837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nelson Kraucak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356405559 PECOS PAC ID: 4688567605 Enrollment ID: I20081117000824 |
| Provider Name | Gretta Michelle Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457826281 PECOS PAC ID: 3870835101 Enrollment ID: I20190507000211 |
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