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1231 N Tuttle Ave Sarasota FL 34237-3116 | |
| (941) 366-0134 | |
| (866) 622-3009 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1231 N Tuttle Ave, Sarasota, Florida |
| Authorized Official Name and Position | Rishi B Patel (PRESIDENT & CEO) |
| Authorized Official Contact | 9413004440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1000 Dept 394 Memphis TN 38148-2558 Ph: (941) 300-4440 | 1231 N Tuttle Ave Sarasota FL 34237-3116 Ph: (941) 366-0134 |
| NPI Number | 1104829274 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 08/06/2024 |
| Certification Date | 08/06/2024 |
| Medicare PECOS PAC ID | 6305883133 |
|---|---|
| Medicare Enrollment ID | O20050413000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104829274 | NPI | - | NPPES |
| 057256000 | Medicaid | FL | |
| 21725 | Other | FL | BCBS FL GROUP # |
| Provider Name | Enid Valerie Klauber Choephel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194809152 PECOS PAC ID: 6901888106 Enrollment ID: I20040602000783 |
| Provider Name | Tanya S Schreibman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1609877190 PECOS PAC ID: 6608844097 Enrollment ID: I20040923000248 |
| Provider Name | Matthew P Thomas |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083726137 PECOS PAC ID: 5395784508 Enrollment ID: I20050427000937 |
| Provider Name | Edward W Braun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558330639 PECOS PAC ID: 1254300528 Enrollment ID: I20050927000146 |
| Provider Name | Jeanette Cancel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740246644 PECOS PAC ID: 3476567736 Enrollment ID: I20060126000245 |
| Provider Name | Amy B Wecker |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1801095757 PECOS PAC ID: 7810080504 Enrollment ID: I20070911000958 |
| Provider Name | Lavinia Suciu |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1427059922 PECOS PAC ID: 7315026044 Enrollment ID: I20080507000221 |
| Provider Name | Michael Sension |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790749661 PECOS PAC ID: 7113041914 Enrollment ID: I20100831000763 |
| Provider Name | Jessica A Altamirano |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1518169721 PECOS PAC ID: 7517115421 Enrollment ID: I20120919000144 |
| Provider Name | James P Desmarais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922346816 PECOS PAC ID: 3577717099 Enrollment ID: I20130211000375 |
| Provider Name | Carolyn S Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407283682 PECOS PAC ID: 3072749100 Enrollment ID: I20131120001482 |
| Provider Name | Katherine Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033589544 PECOS PAC ID: 9830488519 Enrollment ID: I20160519000898 |
| Provider Name | Angela Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194964700 PECOS PAC ID: 1254483837 Enrollment ID: I20161102000316 |
| Provider Name | Jau R Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497269880 PECOS PAC ID: 2264790831 Enrollment ID: I20180103002745 |
| Provider Name | Dana C Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013178581 PECOS PAC ID: 7416218276 Enrollment ID: I20180219002585 |
| Provider Name | Hector D Nieves |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1538107487 PECOS PAC ID: 6507127065 Enrollment ID: I20180223001425 |
| Provider Name | Stephen M Henry |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1851455117 PECOS PAC ID: 0648521153 Enrollment ID: I20180921003202 |
| Provider Name | Giselle Marie Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295988871 PECOS PAC ID: 5092068320 Enrollment ID: I20181102000188 |
| Provider Name | Tara J Printz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952879736 PECOS PAC ID: 0042558827 Enrollment ID: I20190221000755 |
| Provider Name | Alma Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629582812 PECOS PAC ID: 1557601192 Enrollment ID: I20190319001621 |
| Provider Name | Taneshia R Mcclendon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023677358 PECOS PAC ID: 4688902125 Enrollment ID: I20190822000864 |
| Provider Name | Vincenzo Scotto D Antuono |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811962855 PECOS PAC ID: 7618963513 Enrollment ID: I20200325000049 |
| Provider Name | Christina Elaine Rios |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831701622 PECOS PAC ID: 2769898212 Enrollment ID: I20210308001011 |
| Provider Name | Stephanie C Denis |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962069211 PECOS PAC ID: 6507196946 Enrollment ID: I20210809003440 |
| Provider Name | Jacqueline Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932280799 PECOS PAC ID: 1850317264 Enrollment ID: I20210818002406 |
| Provider Name | Vicki Faye Truman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891373528 PECOS PAC ID: 9931504974 Enrollment ID: I20210830000300 |
| Provider Name | Elier Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275094419 PECOS PAC ID: 9335576578 Enrollment ID: I20220221000149 |
| Provider Name | Courtney Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467766055 PECOS PAC ID: 2365634847 Enrollment ID: I20220525003075 |
| Provider Name | Michael J Roggelin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528520756 PECOS PAC ID: 2567793821 Enrollment ID: I20221104001041 |
| Provider Name | Steven Barnett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134175557 PECOS PAC ID: 2860395621 Enrollment ID: I20221213000448 |
| Provider Name | Yolanda Boyd-gantt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851953574 PECOS PAC ID: 5395074009 Enrollment ID: I20230103002546 |
| Provider Name | Lydia Katherine Breaux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558097089 PECOS PAC ID: 7214309764 Enrollment ID: I20230208003386 |
| Provider Name | Anelize Rivadeneira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275230674 PECOS PAC ID: 2860865011 Enrollment ID: I20230308003242 |
| Provider Name | Warren Shaeffer |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033530852 PECOS PAC ID: 8123493517 Enrollment ID: I20230418000451 |
| Provider Name | Karen A Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578176590 PECOS PAC ID: 1254786254 Enrollment ID: I20231011002338 |
| Provider Name | Daniel D Nguyen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1134238892 PECOS PAC ID: 5597115907 Enrollment ID: I20231227003216 |
| Provider Name | Tracy Burbine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821457193 PECOS PAC ID: 6305297854 Enrollment ID: I20240109001869 |
| Provider Name | Demetrius Jifunza |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275116436 PECOS PAC ID: 8022350180 Enrollment ID: I20240125003493 |
| Provider Name | Chloe Cherelle Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114635620 PECOS PAC ID: 6901246453 Enrollment ID: I20240430004234 |
| Provider Name | Vance Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780324442 PECOS PAC ID: 8224036157 Enrollment ID: I20241112003114 |
Bluestone Psychiatry, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5664 Bee Ridge Rd Ste 203, Sarasota, FL 34233 Phone: 877-422-9355 Fax: 877-422-9355 | |
Suncoast Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5224 Station Way, Sarasota, FL 34233 Phone: 941-485-0121 Fax: 941-485-0519 | |
Robert K Winegar Psy D Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1991 Hyde Park St, Sarasota, FL 34239 Phone: 941-953-4313 Fax: 941-954-8631 | |
Marilyn Pearlman Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3293 Fruitville Rd Unit 103, Sarasota, FL 34237 Phone: 941-366-4411 Fax: 941-366-4641 | |
Restore Marriage And Family Therapy, L.l.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1491 2nd St Ste D, Sarasota, FL 34236 Phone: 631-356-3367 | |
Centerpointe Counseling And Recovery Of Sarasota Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5632 Bee Ridge Rd, Unit101, Sarasota, FL 34233 Phone: 941-488-4811 Fax: 941-488-4899 |