| Premier Physicians Orlando LLC | |
|
331 N Maitland Ave Ste C1 Maitland FL 32751-4754 | |
| (407) 644-2218 | |
| (407) 644-9260 |
| Full Name | Premier Physicians Orlando LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 331 N Maitland Ave Ste C1, Maitland, Florida |
| Authorized Official Name and Position | Sandeep Pandya (CEO) |
| Authorized Official Contact | 4076442218 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Physicians Orlando LLC 331 N Maitland Ave Ste C1 Maitland FL 32751-4754 Ph: (407) 644-2218 | Premier Physicians Orlando LLC 331 N Maitland Ave Ste C1 Maitland FL 32751-4754 Ph: (407) 644-2218 |
| NPI Number | 1215403464 |
|---|---|
| Provider Enumeration Date | 10/15/2018 |
| Last Update Date | 02/20/2024 |
| Certification Date | 02/20/2024 |
| Medicare PECOS PAC ID | 9537406061 |
|---|---|
| Medicare Enrollment ID | O20190122003464 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215403464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Sandeep Pandya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023371796 PECOS PAC ID: 9234369331 Enrollment ID: I20161206001437 |
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