| Urgimed, Llc | |
|
131 Webb Dr Ste A Davenport FL 33837-3921 | |
| (407) 446-1072 | |
| Not Available |
| Full Name | Urgimed, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 131 Webb Dr Ste A, Davenport, Florida |
| Authorized Official Name and Position | Brian Lemay (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4074461072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgimed, Llc 131 Webb Dr Ste A Davenport FL 33837-3921 Ph: () - | Urgimed, Llc 131 Webb Dr Ste A Davenport FL 33837-3921 Ph: (407) 446-1072 |
| NPI Number | 1528744786 |
|---|---|
| Provider Enumeration Date | 06/23/2023 |
| Last Update Date | 06/23/2023 |
| Medicare PECOS PAC ID | 9537603659 |
|---|---|
| Medicare Enrollment ID | O20240701001547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528744786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mario R Perez Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528052420 PECOS PAC ID: 7911804471 Enrollment ID: I20031215000323 |
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