| Rainbow River Medical | |
|
20312 Robinson Rd Dunnellon FL 34431-6518 | |
| (352) 489-0126 | |
| (352) 489-0129 |
| Full Name | Rainbow River Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 20312 Robinson Rd, Dunnellon, Florida |
| Authorized Official Name and Position | Jeffrey Alan Carameros (OWNER) |
| Authorized Official Contact | 3524890126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainbow River Medical 20312 Robinson Rd Dunnellon FL 34431-6518 Ph: (352) 489-0126 | Rainbow River Medical 20312 Robinson Rd Dunnellon FL 34431-6518 Ph: (352) 489-0126 |
| NPI Number | 1326434234 |
|---|---|
| Provider Enumeration Date | 04/08/2015 |
| Last Update Date | 04/08/2015 |
| Medicare PECOS PAC ID | 9638481534 |
|---|---|
| Medicare Enrollment ID | O20150707001399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326434234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | ARNP9243991 (Florida) | Primary |
| Provider Name | Jeffrey A Carameros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457604860 PECOS PAC ID: 4587816426 Enrollment ID: I20121128000670 |
| Provider Name | Dianne E Doane-bustetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790218501 PECOS PAC ID: 6204105976 Enrollment ID: I20170712001265 |
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