Suncoast Family Medical Associates | |
12020 Seminole Blvd, Largo, FL 33778-2805 | |
(727) 588-9572 | |
(727) 584-3832 |
Full Name | Suncoast Family Medical Associates |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 12020 Seminole Blvd, Largo, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811981178 | NPI | - | NPPES |
21242A | Other | FL | BLUE CROSS |
120374 | Other | HUMANA | |
252202100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH5247 (Florida) | Secondary |
207Q00000X | Family Medicine | OS6098 (Florida) | Primary |
Provider Name | Rick L Daso |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1033183207 PECOS PAC ID: 3577544519 Enrollment ID: I20040526000856 |
Provider Name | Ty Tvedten |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285626382 PECOS PAC ID: 8022903327 Enrollment ID: I20050225000140 |
Provider Name | Jeffrey S Grove |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154313252 PECOS PAC ID: 9931152469 Enrollment ID: I20050225000185 |
Provider Name | Norbert N Engelman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861484966 PECOS PAC ID: 3971639840 Enrollment ID: I20100330000821 |
Provider Name | Krista M Keith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891729513 PECOS PAC ID: 5698819597 Enrollment ID: I20100901000135 |
Provider Name | Eugene M Dibetta |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467761064 PECOS PAC ID: 0345400198 Enrollment ID: I20120402000285 |
Provider Name | Enriquie J Urrutia |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033422779 PECOS PAC ID: 8325201676 Enrollment ID: I20120523000582 |
Provider Name | Daniel A Eckstein |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366704843 PECOS PAC ID: 1355656851 Enrollment ID: I20150812008571 |
Provider Name | Lena Amy Navin Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518220664 PECOS PAC ID: 8224343462 Enrollment ID: I20150817001513 |
Provider Name | Karen C Joseph |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295098358 PECOS PAC ID: 9739494709 Enrollment ID: I20150819009348 |
Provider Name | Denise S Moore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144744822 PECOS PAC ID: 8527327568 Enrollment ID: I20180118002824 |
Provider Name | Alicia G Pratt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063891786 PECOS PAC ID: 0840502704 Enrollment ID: I20190829003996 |
Provider Name | Tyler T Otto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639667314 PECOS PAC ID: 3072918242 Enrollment ID: I20210826000490 |
Provider Name | Joseph S Plantier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114707346 PECOS PAC ID: 7214383942 Enrollment ID: I20231031003710 |
Mailing Address | Practice Location Address |
---|---|
Suncoast Family Medical Associates 12020 Seminole Blvd, Largo, FL 33778-2805 Ph: (727) 588-9572 | Suncoast Family Medical Associates 12020 Seminole Blvd, Largo, FL 33778-2805 Ph: (727) 588-9572 |