Dr Conrad Hernandez Vinalon Jr, MD | |
620 10th St N Ste 1e, St Petersburg, FL 33705-1407 | |
(727) 824-3120 | |
(727) 824-8313 |
Full Name | Dr Conrad Hernandez Vinalon Jr |
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Gender | Male |
Speciality | Family Medicine |
Location | 620 10th St N Ste 1e, St Petersburg, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174960694 | NPI | - | NPPES |
017877400 | Medicaid | FL | |
P01727389 | Other | FL | RAILROAD MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME121005 (Florida) | Primary |
Entity Name | Knd Development 59 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
Entity Name | Dedicated Senior Medical Center Of Florida, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881055366 PECOS PAC ID: 4486932100 Enrollment ID: O20161101001703 |
Mailing Address | Practice Location Address |
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Dr Conrad Hernandez Vinalon Jr, MD 620 10th St N Ste 1e, St Petersburg, FL 33705-1407 Ph: (727) 824-3120 | Dr Conrad Hernandez Vinalon Jr, MD 620 10th St N Ste 1e, St Petersburg, FL 33705-1407 Ph: (727) 824-3120 |
Dr. Carolina Vac Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7751 9th St N Ste 10, St Petersburg, FL 33702 Phone: 727-521-2424 Fax: 727-521-2425 | |
Dr. Mary Anne Mcginn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Bay Pines Va Healthcare System, 10000 Bay Pines Blvd, St Petersburg, FL 33744 Phone: 727-398-6661 | |
Howard Diamond, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 7th Ave N, St Petersburg, FL 33705 Phone: 727-384-1000 Fax: 727-823-4670 | |
Adam A Brunson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12225 28th St N, Suite B, St Petersburg, FL 33716 Phone: 727-561-4303 Fax: 727-561-9299 | |
Kevin B Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6350 Central Ave, St Petersburg, FL 33707 Phone: 727-381-1144 Fax: 727-381-6901 | |
Dr. Pedro Jose Morales, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5500 Dr Mlk Jr St N, St Petersburg, FL 33703 Phone: 727-525-5500 Fax: 727-522-2574 | |
Heather Larock Christie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave N Ste 240, St Petersburg, FL 33713 Phone: 727-220-9080 |