| University Medical Care, Pa | |
|
471 N Semoran Blvd Suite A Winter Park FL 32792-3803 | |
| (407) 678-5656 | |
| (407) 677-5550 |
| Full Name | University Medical Care, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 471 N Semoran Blvd, Winter Park, Florida |
| Authorized Official Name and Position | Rajan Kapoor (MEDICAL DOCTOR) |
| Authorized Official Contact | 4076785656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Medical Care, Pa 471 N Semoran Blvd Suite A Winter Park FL 32792-3803 Ph: (407) 678-5656 | University Medical Care, Pa 471 N Semoran Blvd Suite A Winter Park FL 32792-3803 Ph: (407) 678-5656 |
| NPI Number | 1023004967 |
|---|---|
| Provider Enumeration Date | 09/26/2005 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 4385604479 |
|---|---|
| Medicare Enrollment ID | O20041013000654 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023004967 | NPI | - | NPPES |
| 74613 | Other | FL | BLUE CROSS BLUE SHIELD |
| 378531900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Florida) | Primary |
| Provider Name | Rajnish Puri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689660474 PECOS PAC ID: 3870632805 Enrollment ID: I20091203000438 |
| Provider Name | Rajan Kapoor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972599801 PECOS PAC ID: 9436119526 Enrollment ID: I20100122000451 |
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