| Vitacore Llc | |
|
375 Se Broad St Southern Pines NC 28387-6057 | |
| (910) 690-6894 | |
| (910) 725-0033 |
| Full Name | Vitacore Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 375 Se Broad St, Southern Pines, North Carolina |
| Authorized Official Name and Position | Philip Mondi (OWNER) |
| Authorized Official Contact | 9106906894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitacore Llc 375 Se Broad St Southern Pines NC 28387-6057 Ph: (910) 690-6894 | Vitacore Llc 375 Se Broad St Southern Pines NC 28387-6057 Ph: (910) 690-6894 |
| NPI Number | 1639987431 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Medicare PECOS PAC ID | 8527589464 |
|---|---|
| Medicare Enrollment ID | O20250306003827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639987431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip G Mondi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316982580 PECOS PAC ID: 9931105806 Enrollment ID: I20100322000334 |
Fortified Med Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-431-0236 | |
Walter S Morris Iii Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 390 Sw Broad St, Unit A, Southern Pines, NC 28387 Phone: 910-639-2583 | |
Carolina Premier Health Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 S Bennett Street, Southern Pines, NC 28384 Phone: 910-693-1678 Fax: 910-693-1612 | |
Thrive Health & Wellness, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 760c Nw Broad St, Southern Pines, NC 28387 Phone: 916-431-0236 Fax: 916-431-0236 | |
Randall R Mercier Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 630 S Bennett St, Southern Pines, NC 28387 Phone: 910-692-0873 Fax: 910-295-1787 | |
Fhpg, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Us Highway 1 S Ste 300, Southern Pines, NC 28387 Phone: 910-684-5499 Fax: 910-684-5567 |