| Infection Prevention And Treatment Center | |
|
500 Nw 43rd Street Suite #1 Gainesville FL 32607 | |
| (352) 378-9100 | |
| (352) 378-9005 |
| Full Name | Infection Prevention And Treatment Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 500 Nw 43rd Street Suite #1, Gainesville, Florida |
| Authorized Official Name and Position | Marie Alixe Kima (MD) |
| Authorized Official Contact | 3523789100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infection Prevention And Treatment Center 500 Nw 43rd Street Suite #1 Gainesville FL 32607 Ph: (352) 378-9100 | Infection Prevention And Treatment Center 500 Nw 43rd Street Suite #1 Gainesville FL 32607 Ph: (352) 378-9100 |
| NPI Number | 1114972361 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/27/2016 |
| Medicare PECOS PAC ID | 0345252284 |
|---|---|
| Medicare Enrollment ID | O20060615000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114972361 | NPI | - | NPPES |
| 002138800 | Medicaid | FL | |
| DN7443 | Other | FL | RAILROAD MEDICARE |
| 000MD | Other | FL | FL BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | ME79445 (Florida) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (Florida) | Primary |
| Provider Name | Marie A Kima |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1699733402 PECOS PAC ID: 6002828969 Enrollment ID: I20060615000292 |
| Provider Name | Vidya Sagar Kollu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003048687 PECOS PAC ID: 9436300514 Enrollment ID: I20210623003405 |
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