| New Age Medical Center | |
|
12142 Cortez Blvd Brooksville FL 34613 | |
| (352) 596-9095 | |
| (352) 596-9271 |
| Full Name | New Age Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 12142 Cortez Blvd, Brooksville, Florida |
| Authorized Official Name and Position | Doris Carmen Cifuentes (VICE-PRESIDENT) |
| Authorized Official Contact | 3525969095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Age Medical Center 12142 Cortez Blvd Brooksville FL 34613 Ph: (352) 596-9095 | New Age Medical Center 12142 Cortez Blvd Brooksville FL 34613 Ph: (352) 596-9095 |
| NPI Number | 1508053091 |
|---|---|
| Provider Enumeration Date | 09/27/2007 |
| Last Update Date | 07/20/2010 |
| Medicare PECOS PAC ID | 8527026293 |
|---|---|
| Medicare Enrollment ID | O20041228000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508053091 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| Provider Name | David Moreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225045156 PECOS PAC ID: 8426100892 Enrollment ID: I20110510000229 |
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Nautilus Health Care Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11371 Cortez Blvd Ste 134, Brooksville, FL 34613 Phone: 352-606-7182 Fax: 352-606-7482 | |
Brooksville Hma Physician Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11329 Cortez Blvd, Brooksville, FL 34613 Phone: 352-596-5052 Fax: 352-596-5244 | |
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