| Countryside Neurology Inc | |
|
2349 Sunset Point Rd Ste 403 Clearwater FL 33765-1439 | |
| (727) 712-1567 | |
| Not Available |
| Full Name | Countryside Neurology Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2349 Sunset Point Rd Ste 403, Clearwater, Florida |
| Authorized Official Name and Position | Ardeshir Khademi-kemanshahi (PRESIDENT) |
| Authorized Official Contact | 7277121567 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Countryside Neurology Inc 2349 Sunset Pt Rd Suite 403 Clearwater FL 34682 Ph: (727) 712-1567 | Countryside Neurology Inc 2349 Sunset Point Rd Ste 403 Clearwater FL 33765-1439 Ph: (727) 712-1567 |
| NPI Number | 1588834964 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Medicare PECOS PAC ID | 2062488745 |
|---|---|
| Medicare Enrollment ID | O20040903000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588834964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | ME80114 (Florida) | Primary |
| Provider Name | Ardeshir Khademi-kermanshahi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861585903 PECOS PAC ID: 6901870724 Enrollment ID: I20040825001358 |
| Provider Name | Valbona Berberi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093290611 PECOS PAC ID: 4880028828 Enrollment ID: I20191227000031 |
| Provider Name | Collin Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487269957 PECOS PAC ID: 7315346483 Enrollment ID: I20210521000213 |
Loredana Repetto Lcsw & Assoc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Road, Suite 203, Clearwater, FL 33765 Phone: 727-669-3911 Fax: 727-669-3813 | |
Empower, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2120 Range Rd, Clearwater, FL 33765 Phone: 727-410-8911 Fax: 727-223-8917 | |
Baycare Medical Group, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2995 Drew St Fl 2, Clearwater, FL 33759 Phone: 727-281-9065 | |
Bay Area Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13575 58th St N, Suite 131, Clearwater, FL 33760 Phone: 813-689-8828 Fax: 813-689-8802 | |
Camelot Community Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Creekside Dr, Suite D, Clearwater, FL 33760 Phone: 727-593-0003 Fax: 727-596-1713 | |
Renee Michaels Lcsw Cap Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2329 Sunset Point Rd, Suite 203, Clearwater, FL 33765 Phone: 727-669-3811 Fax: 727-669-3813 | |
Debbie A. Noe, Lmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2451 N Mcmullen Booth Rd, Clearwater, FL 33759 Phone: 727-542-8662 |