| Juan P. Suarez, M.D., P.A. | |
|
1900 N Mills Ave Suite 103 Orlando FL 32803 | |
| (407) 843-0151 | |
| (407) 843-9230 |
| Full Name | Juan P. Suarez, M.D., P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1900 N Mills Ave, Orlando, Florida |
| Authorized Official Name and Position | Juan P Suarez (PRESIDENT) |
| Authorized Official Contact | 4078430151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Juan P. Suarez, M.D., P.A. 1900 N Mills Ave Suite 103 Orlando FL 32803-2939 Ph: (407) 843-0151 | Juan P. Suarez, M.D., P.A. 1900 N Mills Ave Suite 103 Orlando FL 32803 Ph: (407) 843-0151 |
| NPI Number | 1306087549 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 07/06/2010 |
| Medicare PECOS PAC ID | 4284788357 |
|---|---|
| Medicare Enrollment ID | O20090825000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306087549 | NPI | - | NPPES |
| 044557600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0053735 (Florida) | Primary |
| Provider Name | Juan P Suarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992794556 PECOS PAC ID: 5698789105 Enrollment ID: I20060203000131 |
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