| Hickory Care LLC | |
|
1700 Monroe Ave Maitland FL 32751-6672 | |
| (407) 647-2092 | |
| Not Available |
| Full Name | Hickory Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1700 Monroe Ave, Maitland, Florida |
| Authorized Official Name and Position | Moshe Feferkorn (OWNER) |
| Authorized Official Contact | 7189309911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Care LLC 52 Harmony Dr Lakewood NJ 08701-5841 Ph: (732) 631-4358 | Hickory Care LLC 1700 Monroe Ave Maitland FL 32751-6672 Ph: (407) 647-2092 |
| NPI Number | 1124899869 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/11/2024 |
| Certification Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124899869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
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