| Hernando Primary Health LLC | |
|
4169 Lamson Ave Spring Hill FL 34608-3707 | |
| (352) 667-2828 | |
| Not Available |
| Full Name | Hernando Primary Health LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4169 Lamson Ave, Spring Hill, Florida |
| Authorized Official Name and Position | Kimberly Le (BILLING MANAGER) |
| Authorized Official Contact | 3526049980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hernando Primary Health LLC 4169 Lamson Ave Spring Hill FL 34608-3707 Ph: (352) 604-9980 | Hernando Primary Health LLC 4169 Lamson Ave Spring Hill FL 34608-3707 Ph: (352) 667-2828 |
| NPI Number | 1518793397 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 03/27/2026 |
| Certification Date | 03/27/2026 |
| Medicare PECOS PAC ID | 3173003886 |
|---|---|
| Medicare Enrollment ID | O20260212002679 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518793397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 207QA0000X | Family Medicine - Adolescent Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| Provider Name | Mark D. Bowden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669580668 PECOS PAC ID: 5698768711 Enrollment ID: I20040405001848 |
| Provider Name | Carmelina M Mott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598426512 PECOS PAC ID: 3678007820 Enrollment ID: I20241111000669 |
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