| Metcare Of Orange City | |
|
2669 Enterprise Rd Orange City FL 32763-8217 | |
| (386) 774-0491 | |
| (386) 774-7160 |
| Full Name | Metcare Of Orange City |
|---|---|
| Speciality | Family Medicine |
| Location | 2669 Enterprise Rd, Orange City, Florida |
| Authorized Official Name and Position | Gemma Rosello (VICE PRESIDENT) |
| Authorized Official Contact | 3055002000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metcare Of Orange City 6101 Blue Lagoon Dr Suite 400 Miami FL 33126-2055 Ph: (305) 500-2114 | Metcare Of Orange City 2669 Enterprise Rd Orange City FL 32763-8217 Ph: (386) 774-0491 |
| NPI Number | 1295110203 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 06/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295110203 | NPI | - | NPPES |
| CX415B | Other | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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