MEDICARE: APOLLO HEALTHCARE ASSOCIATES LLC

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114397809
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOLLO HEALTHCARE ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	1326 MALABAR RD SE STE 3
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2502
Country	:	US
Telephone Number	:	321-409-6100
Fax Number	:	321-409-6063

Provider Business Practice Location Address
First Line	:	1326 MALABAR RD SE STE 3
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32907-2502
Country	:	US
Telephone Number	:	321-409-6100
Fax Number	:	321-409-6063

Authorized Official
Title or Position	:	OWNER/PHYSICIAN
Name	:	DR. PAMELA L OJHA
Credential	:	M.D.
Telephone Number	:	321-506-3985

Provider Enumeration Date	:	10/07/2015
Last Update Date	:	09/05/2024

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