Good Shepherd Primary Care, P.A. in Orlando - Family Medicine

Good Shepherd Primary Care, P.A. - NPI 1306048343

Good Shepherd Primary Care, P.A. is a Family Medicine in Orlando, Florida. Good Shepherd Primary Care, P.A. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Good Shepherd Primary Care, P.A. is 1306048343. The last update date is 2007-07-18.

Good Shepherd Primary Care, P.A.'s current location address is 1170 S Semoran Blvd, Orlando, Florida. You can contact this provider via phone number 4072824142 and fax number 4072827475. The mailing address for Good Shepherd Primary Care, P.A. is 1170 S Semoran Blvd, Orlando, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Good Shepherd Primary Care, P.A.
Address 1170 S Semoran Blvd, Orlando, Florida
Phone Number 4072824142
Fax Number 4072827475
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Aviles Maribel
Credentials MD
Telephone Number 4072824142

NPI Number Detail

NPI Number 1306048343
Provider Enumeration Date 2007-06-01
Last Updated Date 2007-07-18

Provider Mailing Address Detail

Address 1170 S Semoran Blvd
City Orlando
State Florida (FL)
Post Code 328071458
Phone Number 4072824142
Fax Number 4072827475

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No ME0066465
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Good Shepherd Primary Care, P.A.

What is the unique identifier code issued to Good Shepherd Primary Care, P.A. by the Centers for Medicare & Medicaid Services (CMS)?

The Good Shepherd Primary Care, P.A. has been assigned the NPI (National Provider Identifier) 1306048343. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where Good Shepherd Primary Care, P.A. is geographically located?

The Good Shepherd Primary Care, P.A. is physically situated at the following location: 1170 S Semoran Blvd, Orlando, FL, 328071458.

What is Good Shepherd Primary Care, P.A.'s area of expertise and its corresponding taxonomy classification?

The Good Shepherd Primary Care, P.A.'s field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1306048343 to Good Shepherd Primary Care, P.A.?

The Centers for Medicare & Medicaid Services assigned the 1306048343 to Good Shepherd Primary Care, P.A. on 2007-06-01.

When was the information regarding Good Shepherd Primary Care, P.A. most recently updated?

The details pertaining to the Good Shepherd Primary Care, P.A., including its address, specialty, and other relevant information, were last refreshed on 2007-07-18.

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