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NPI Code Detail

MEDICARE: IN HOME PRIMARY CARE INC

MEDICARE: IN HOME PRIMARY CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner

General Provider Information

NPI Number : 1841655180
Entity Type Code : Organization
Provider Name (Legal Business Name) : IN HOME PRIMARY CARE INC
Provider Business Mailing Address
First Line : PO BOX 690722
Second Line :
City : ORLANDO
State : FL
Zip : 32869-0722
Country : US
Telephone Number : 407-720-8765
Fax Number : 407-386-6881
Provider Business Practice Location Address
First Line : 11380 ASHBORO DR
Second Line :
City : ORLANDO
State : FL
Zip : 32837-9022
Country : US
Telephone Number : 407-720-8765
Fax Number : 407-386-6881
Authorized Official
Title or Position : OWNER
Name : MR. JOSE FRANCISCO PEREIRA
Credential : ARNP
Telephone Number : 407-720-8765
Provider Enumeration Date : 12/30/2015
Last Update Date : 02/26/2016

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Directions to “IN HOME PRIMARY CARE INC ” Practice Location

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