| Maxcare Clinic LLC | |
|
5547 Normandy Blvd Jacksonville FL 32205-6246 | |
| (904) 386-6785 | |
| Not Available |
| Full Name | Maxcare Clinic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 5547 Normandy Blvd, Jacksonville, Florida |
| Authorized Official Name and Position | Ankur Parikh (OWNER) |
| Authorized Official Contact | 9043866785 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxcare Clinic LLC Po Box 600914 Saint Johns FL 32260-0914 Ph: (904) 386-6785 | Maxcare Clinic LLC 5547 Normandy Blvd Jacksonville FL 32205-6246 Ph: (904) 386-6785 |
| NPI Number | 1730833633 |
|---|---|
| Provider Enumeration Date | 02/09/2022 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 7618346552 |
|---|---|
| Medicare Enrollment ID | O20221215000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730833633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
| Provider Name | Muhammet Ozer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609431386 PECOS PAC ID: 3779970181 Enrollment ID: I20220503000752 |
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