| Vhg Telemed Home Visit Llc | |
|
6550 Main St Unit 1571 New Prt Rchy FL 34656-9763 | |
| (727) 808-4800 | |
| Not Available |
| Full Name | Vhg Telemed Home Visit Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6550 Main St Unit 1571, New Prt Rchy, Florida |
| Authorized Official Name and Position | Shari Rosenberg (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 7278085591 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vhg Telemed Home Visit Llc 6550 Main St Unit 1571 New Prt Rchy FL 34656-9763 Ph: (727) 808-4800 | Vhg Telemed Home Visit Llc 6550 Main St Unit 1571 New Prt Rchy FL 34656-9763 Ph: (727) 808-4800 |
| NPI Number | 1063275410 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 5597102640 |
|---|---|
| Medicare Enrollment ID | O20240325002165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063275410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Haider Ali Khan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598764953 PECOS PAC ID: 8426338898 Enrollment ID: I20170516002519 |
Vmd Primary Providers Central Florida Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7018 Massachusetts Ave, New Prt Rchy, FL 34653 Phone: 407-798-8800 |