| Healthy Choice Family Clinic And Urgent Care, Llc | |
|
8700 Central Ave Suite # 302a Landover MD 20785-4831 | |
| (301) 613-9295 | |
| (888) 202-7717 |
| Full Name | Healthy Choice Family Clinic And Urgent Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8700 Central Ave, Landover, Maryland |
| Authorized Official Name and Position | Victoria Titus (PRESIDENT /OWNER) |
| Authorized Official Contact | 3016139295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Choice Family Clinic And Urgent Care, Llc 8700 Central Ave Suite 302 A Landover MD 20785-4831 Ph: (301) 613-9295 | Healthy Choice Family Clinic And Urgent Care, Llc 8700 Central Ave Suite # 302a Landover MD 20785-4831 Ph: (301) 613-9295 |
| NPI Number | 1003236001 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 8022238054 |
|---|---|
| Medicare Enrollment ID | O20140925001127 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003236001 | NPI | - | NPPES |
| R184425 | Other | MD | MARYLAND STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R184425 (Maryland) | Primary |
| Provider Name | Robert J Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326052051 PECOS PAC ID: 2961428230 Enrollment ID: I20051017000873 |
| Provider Name | Victoria O Titus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215207543 PECOS PAC ID: 9032369152 Enrollment ID: I20140522000219 |
| Provider Name | Folasade Adewunmi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699186676 PECOS PAC ID: 1153548110 Enrollment ID: I20141229000315 |
| Provider Name | Charity Ijeoma Ehiem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073111209 PECOS PAC ID: 6103229133 Enrollment ID: I20210728000973 |
| Provider Name | Sandie Lontouo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861089732 PECOS PAC ID: 6800280462 Enrollment ID: I20220224000030 |
| Provider Name | Doris Dolapo Faturoti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427779560 PECOS PAC ID: 8729440029 Enrollment ID: I20230822001603 |
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