| Honor 1st Nurse Practitioner Primary Care Llc | |
|
1721 W Fletcher Ave Tampa FL 33612-1820 | |
| (407) 921-2307 | |
| Not Available |
| Full Name | Honor 1st Nurse Practitioner Primary Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1721 W Fletcher Ave, Tampa, Florida |
| Authorized Official Name and Position | Robin Taylor (OWNER) |
| Authorized Official Contact | 4079212307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Honor 1st Nurse Practitioner Primary Care Llc 2724 Via Murano Unit 631 Clearwater FL 33764-3985 Ph: (407) 921-2307 | Honor 1st Nurse Practitioner Primary Care Llc 1721 W Fletcher Ave Tampa FL 33612-1820 Ph: (407) 921-2307 |
| NPI Number | 1023697869 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 07/06/2021 |
| Medicare PECOS PAC ID | 5698177608 |
|---|---|
| Medicare Enrollment ID | O20210714000473 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023697869 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Robin N Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477857373 PECOS PAC ID: 7719389733 Enrollment ID: I20210714001646 |
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