| Frontline Primary Care | |
|
1942 W County Road 419 Ste 1060 Oviedo FL 32766-9024 | |
| (407) 603-9134 | |
| Not Available |
| Full Name | Frontline Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 1942 W County Road 419 Ste 1060, Oviedo, Florida |
| Authorized Official Name and Position | Mihir Ramniklal Faldu (OWNER) |
| Authorized Official Contact | 4076039134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontline Primary Care 1942 W. Cr 419 Ste 1060 Oviedo FL 32766 Ph: (407) 603-9134 | Frontline Primary Care 1942 W County Road 419 Ste 1060 Oviedo FL 32766-9024 Ph: (407) 603-9134 |
| NPI Number | 1265055412 |
|---|---|
| Provider Enumeration Date | 05/22/2020 |
| Last Update Date | 04/29/2021 |
| Medicare PECOS PAC ID | 5395150684 |
|---|---|
| Medicare Enrollment ID | O20210218002171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265055412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mihir R Faldu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033371273 PECOS PAC ID: 5799953998 Enrollment ID: I20110713000754 |
| Provider Name | Natassja Juliette Debra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013673011 PECOS PAC ID: 3870942600 Enrollment ID: I20231205003891 |
| Provider Name | Christina Erin Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699432823 PECOS PAC ID: 5193175156 Enrollment ID: I20240103002050 |
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