| Soni Family Practice Pllc | |
|
2217 North Blvd W Ste B Davenport FL 33837-8990 | |
| (863) 588-4775 | |
| (863) 588-4776 |
| Full Name | Soni Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2217 North Blvd W, Davenport, Florida |
| Authorized Official Name and Position | Ambica Soni (OWNER) |
| Authorized Official Contact | 8635884775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soni Family Practice Pllc 2217 North Blvd W Ste B Davenport FL 33837-8990 Ph: (863) 588-4775 | Soni Family Practice Pllc 2217 North Blvd W Ste B Davenport FL 33837-8990 Ph: (863) 588-4775 |
| NPI Number | 1083957583 |
|---|---|
| Provider Enumeration Date | 04/03/2013 |
| Last Update Date | 04/03/2013 |
| Medicare PECOS PAC ID | 8224274840 |
|---|---|
| Medicare Enrollment ID | O20130425000711 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083957583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Yarima Marcucci |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1427151356 PECOS PAC ID: 2769514355 Enrollment ID: I20120723000571 |
| Provider Name | Ambica Soni |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114191079 PECOS PAC ID: 2567634710 Enrollment ID: I20130425000715 |
| Provider Name | Gopi Kiran Maharaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649568288 PECOS PAC ID: 6901102078 Enrollment ID: I20160316000477 |
| Provider Name | Isabel Hidalgo Acosta |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376924191 PECOS PAC ID: 0749582112 Enrollment ID: I20170210001730 |
| Provider Name | Francisco Javier Munoz San Julian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578534392 PECOS PAC ID: 5991797946 Enrollment ID: I20170221000593 |
| Provider Name | Jader Harlow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528304854 PECOS PAC ID: 8729364831 Enrollment ID: I20170404000110 |
| Provider Name | Jose Xavier Pluguez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1922158476 PECOS PAC ID: 9335033372 Enrollment ID: I20220708003508 |
| Provider Name | Walver Baez Mejias |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992404677 PECOS PAC ID: 9032578372 Enrollment ID: I20231030003915 |
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Olympia Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2306 North Blvd W Ste C, Davenport, FL 33837 Phone: 863-547-9200 | |
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Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2302 North Blvd., Suite D, Davenport, FL 33837 Phone: 863-422-1400 Fax: 863-419-7935 |