Promise Medical Group, Pllc | |
2351 Clearwater Run The Villages FL 32162 | |
(352) 812-0579 | |
Not Available |
Full Name | Promise Medical Group, Pllc |
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Speciality | Internal Medicine |
Location | 2351 Clearwater Run, The Villages, Florida |
Authorized Official Name and Position | David Wayne Stephenson (PRESIDENT) |
Authorized Official Contact | 3528120579 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Promise Medical Group, Pllc 2351 Clearwater Run The Villages FL 32162 Ph: (352) 812-0579 | Promise Medical Group, Pllc 2351 Clearwater Run The Villages FL 32162 Ph: (352) 812-0579 |
NPI Number | 1043560832 |
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Provider Enumeration Date | 09/19/2012 |
Last Update Date | 10/23/2012 |
Medicare PECOS PAC ID | 7113177304 |
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Medicare Enrollment ID | O20121024000529 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043560832 | NPI | - | NPPES |
FD876Z | Other | FL | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME106525 (Florida) | Primary |
Provider Name | David W Stephenson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093983157 PECOS PAC ID: 6608044243 Enrollment ID: I20110726000234 |
Provider Name | Asm M. Rahman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1871789487 PECOS PAC ID: 2264603992 Enrollment ID: I20110928000836 |
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