| Hunt Club Medical Plc | |
|
3191 E Semoran Blvd Apopka FL 32703-5943 | |
| (407) 788-6500 | |
| (407) 869-9400 |
| Full Name | Hunt Club Medical Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 3191 E Semoran Blvd, Apopka, Florida |
| Authorized Official Name and Position | Michael Gordon (PRESIDENT) |
| Authorized Official Contact | 4077886500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hunt Club Medical Plc 3191 E Semoran Blvd Apopka FL 32703-5943 Ph: (407) 788-6500 | Hunt Club Medical Plc 3191 E Semoran Blvd Apopka FL 32703-5943 Ph: (407) 788-6500 |
| NPI Number | 1184724262 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 01/19/2012 |
| Medicare PECOS PAC ID | 7416994843 |
|---|---|
| Medicare Enrollment ID | O20050416000010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184724262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael D Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013905629 PECOS PAC ID: 6002871696 Enrollment ID: I20041123000380 |
| Provider Name | Pinida Toochinda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174623243 PECOS PAC ID: 8224076468 Enrollment ID: I20050419001048 |
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