| Our Family Doctor Clinic Pa | |
|
27348 Cashford Cir Wesley Chapel FL 33543-8198 | |
| (813) 907-7680 | |
| (813) 907-2454 |
| Full Name | Our Family Doctor Clinic Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 27348 Cashford Cir, Wesley Chapel, Florida |
| Authorized Official Name and Position | Mona Saleh Boghdadi (PRESIDENT) |
| Authorized Official Contact | 8139077680 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Family Doctor Clinic Pa Po Box 48315 Tampa FL 33647-0120 Ph: (813) 907-7680 | Our Family Doctor Clinic Pa 27348 Cashford Cir Wesley Chapel FL 33543-8198 Ph: (813) 907-7680 |
| NPI Number | 1154548014 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 01/10/2008 |
| Medicare PECOS PAC ID | 1557451804 |
|---|---|
| Medicare Enrollment ID | O20071226000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154548014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mona S Boghdadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891912754 PECOS PAC ID: 8426148222 Enrollment ID: I20071217000755 |
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