| Orange Blossom Health Care | |
|
3051 Whiteside Rd Macon GA 31216-6209 | |
| (877) 940-7200 | |
| Not Available |
| Full Name | Orange Blossom Health Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 3051 Whiteside Rd, Macon, Georgia |
| Authorized Official Name and Position | Jose Thomas Smith (OWNER) |
| Authorized Official Contact | 8779407200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Blossom Health Care 7742 N Kendall Dr # 446 Miami FL 33156-7523 Ph: (877) 940-7200 | Orange Blossom Health Care 3051 Whiteside Rd Macon GA 31216-6209 Ph: (877) 940-7200 |
| NPI Number | 1427810480 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 6901243336 |
|---|---|
| Medicare Enrollment ID | O20240415000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427810480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Jose Smith |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518499417 PECOS PAC ID: 7911305321 Enrollment ID: I20211014001724 |
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