| Internal Medicine at Debary LLC | |
|
615 N Charles Richard Beall Blvd Debary FL 32713-2266 | |
| (386) 210-9402 | |
| Not Available |
| Full Name | Internal Medicine at Debary LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 615 N Charles Richard Beall Blvd, Debary, Florida |
| Authorized Official Name and Position | Kwabena Ayesu (PRESIDENT) |
| Authorized Official Contact | 4074933983 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine at Debary LLC 615 N Charles Richard Beall Blvd Debary FL 32713-2266 Ph: (386) 210-9402 | Internal Medicine at Debary LLC 615 N Charles Richard Beall Blvd Debary FL 32713-2266 Ph: (386) 210-9402 |
| NPI Number | 1740088780 |
|---|---|
| Provider Enumeration Date | 03/05/2025 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/05/2025 |
| Medicare PECOS PAC ID | 1355853763 |
|---|---|
| Medicare Enrollment ID | O20250623001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740088780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Malika George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467603183 PECOS PAC ID: 8224209960 Enrollment ID: I20110929000112 |
Potenciano Gonzales MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 62 Spring Vista Dr Ste 100, Debary, FL 32713 Phone: 386-668-8559 |
Ima Medical Group - Debary Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 N Charles Richard Beall Blvd Ste 106, Debary, FL 32713 Phone: 407-845-0330 |
Nexthealth Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Pond Ct Ste 301, Debary, FL 32713 Phone: 386-259-4258 Fax: 877-569-2113 |
Florida Injury Medical Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 432 N Pine Meadow Dr, Debary, FL 32713 Phone: 386-742-7312 |
Humberto a Dominguez MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 70 Fox Ridge Ct, Suite A, Debary, FL 32713 Phone: 386-668-4411 Fax: 386-668-8688 |
Spahana Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Spring Vista Dr, Debary, FL 32713 Phone: 386-279-3087 Fax: 386-516-6136 |