| Clearstone Group | |
|
4497 Powderhorn Place Dr Clermont FL 34711-8929 | |
| (352) 205-3479 | |
| Not Available |
| Full Name | Clearstone Group |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4497 Powderhorn Place Dr, Clermont, Florida |
| Authorized Official Name and Position | Evens Michel (CEO) |
| Authorized Official Contact | 4074627233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearstone Group 4497 Powderhorn Place Dr Clermont FL 34711-8929 Ph: (352) 205-3479 | Clearstone Group 4497 Powderhorn Place Dr Clermont FL 34711-8929 Ph: (352) 205-3479 |
| NPI Number | 1952777856 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/19/2021 |
| Medicare PECOS PAC ID | 6406262617 |
|---|---|
| Medicare Enrollment ID | O20210315000763 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952777856 | NPI | - | NPPES |
| Provider Name | Nageley J Michel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093258642 PECOS PAC ID: 1355622671 Enrollment ID: I20161228002231 |
| Provider Name | Soondy Jegede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497270243 PECOS PAC ID: 1850707068 Enrollment ID: I20210315000832 |
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