| Ohi West Medical Group Ii Llc | |
|
38135 Market Square Dr Zephyrhills FL 33542-7505 | |
| (321) 841-3468 | |
| Not Available |
| Full Name | Ohi West Medical Group Ii Llc |
|---|---|
| Speciality | General Practice |
| Location | 38135 Market Square Dr, Zephyrhills, Florida |
| Authorized Official Name and Position | Joe Delatorre (CEO) |
| Authorized Official Contact | 8137808440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohi West Medical Group Ii Llc 38135 Market Square Dr Zephyrhills FL 33542-7505 Ph: (321) 841-3468 | Ohi West Medical Group Ii Llc 38135 Market Square Dr Zephyrhills FL 33542-7505 Ph: (321) 841-3468 |
| NPI Number | 1982381299 |
|---|---|
| Provider Enumeration Date | 06/28/2023 |
| Last Update Date | 04/08/2024 |
| Medicare PECOS PAC ID | 0648631192 |
|---|---|
| Medicare Enrollment ID | O20230731002130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982381299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Chandresh Saraiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710908967 PECOS PAC ID: 8527960731 Enrollment ID: I20100308000337 |
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