| Narra Primary Care, PLLC | |
|
1800 Pembrook Dr Ste 300 Orlando FL 32810-6378 | |
| (407) 925-4395 | |
| (407) 550-7416 |
| Full Name | Narra Primary Care, PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 1800 Pembrook Dr Ste 300, Orlando, Florida |
| Authorized Official Name and Position | Geraldine Kidary (OWNER) |
| Authorized Official Contact | 4079254395 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Narra Primary Care, PLLC 1800 Pembrook Dr Ste 300 Orlando FL 32810-6378 Ph: (407) 925-4395 | Narra Primary Care, PLLC 1800 Pembrook Dr Ste 300 Orlando FL 32810-6378 Ph: (407) 925-4395 |
| NPI Number | 1902630627 |
|---|---|
| Provider Enumeration Date | 08/27/2024 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 7719476266 |
|---|---|
| Medicare Enrollment ID | O20251027001893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902630627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Geraldine Kidary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982075529 PECOS PAC ID: 3375827546 Enrollment ID: I20170307002054 |
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