| Tavares Pediatrics Inc | |
|
2754 Dora Ave Tavares FL 32778-4970 | |
| (352) 394-3929 | |
| (352) 394-6446 |
| Full Name | Tavares Pediatrics Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2754 Dora Ave, Tavares, Florida |
| Authorized Official Name and Position | Mohammad Afzal (MD) |
| Authorized Official Contact | 3523943929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tavares Pediatrics Inc 265 Citrus Tower Blvd Suite 102 Clermont FL 34711-1908 Ph: (352) 394-3929 | Tavares Pediatrics Inc 2754 Dora Ave Tavares FL 32778-4970 Ph: (352) 394-3929 |
| NPI Number | 1679854343 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 12/13/2023 |
| Medicare PECOS PAC ID | 3779758578 |
|---|---|
| Medicare Enrollment ID | O20111206000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679854343 | NPI | - | NPPES |
| 004771000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | ME72542 (Florida) | Primary |
Celestino Santi Do Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1300 E Burleigh Blvd, Tavares, FL 32778 Phone: 352-742-1500 Fax: 352-742-2530 | |
Happy Camper Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Salk Ave, Tavares, FL 32778 Phone: 352-745-6753 | |
Ellis Integrative Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1865 Nightingale Ln Ste B, Tavares, FL 32778 Phone: 352-457-1936 | |
Express Care Of Lake County Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Nightingale Ln, Tavares, FL 32778 Phone: 352-742-1500 Fax: 352-742-2530 | |
Keller & Goodman Md, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1879 Nightingale Ln, Suite C-2, Tavares, FL 32778 Phone: 352-742-7776 Fax: 352-742-7750 | |
Matthew P. Castner, D.o., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 407-886-8164 | |
Janice R Lorenzen Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Salk Ave, Tavares, FL 32778 Phone: 352-343-7805 Fax: 353-343-8917 |