| Jerry M Alstott Md | |
|
8030 Saint James Way Mount Dora FL 32757-9134 | |
| (407) 908-0064 | |
| (352) 383-9319 |
| Full Name | Jerry M Alstott Md |
|---|---|
| Speciality | Family Medicine |
| Location | 8030 Saint James Way, Mount Dora, Florida |
| Authorized Official Name and Position | Jerry M Alstott (OWNER) |
| Authorized Official Contact | 4079080064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry M Alstott Md 8030 Saint James Way Mount Dora FL 32757-9134 Ph: (407) 908-0064 | Jerry M Alstott Md 8030 Saint James Way Mount Dora FL 32757-9134 Ph: (407) 908-0064 |
| NPI Number | 1063785095 |
|---|---|
| Provider Enumeration Date | 02/22/2012 |
| Last Update Date | 05/10/2016 |
| Medicare PECOS PAC ID | 0547429094 |
|---|---|
| Medicare Enrollment ID | O20120302000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063785095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | ME0037307 (Florida) | Primary |
| Provider Name | Jerry Martin Alstott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467497271 PECOS PAC ID: 0345409892 Enrollment ID: I20120302000282 |
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