Mc Medical Llc | |
1586 Branan Field Rd Middleburg FL 32068-8427 | |
(904) 406-6303 | |
Not Available |
Full Name | Mc Medical Llc |
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Speciality | General Practice |
Location | 1586 Branan Field Rd, Middleburg, Florida |
Authorized Official Name and Position | Soujanya Pulluru (OWNER) |
Authorized Official Contact | 4792041258 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mc Medical Llc 702 Sw 8th St # Ms 0445 Bentonville AR 72716-0445 Ph: (479) 204-1258 | Mc Medical Llc 1586 Branan Field Rd Middleburg FL 32068-8427 Ph: (904) 406-6303 |
NPI Number | 1982293718 |
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Provider Enumeration Date | 01/15/2021 |
Last Update Date | 01/18/2022 |
Certification Date | 01/18/2022 |
Medicare PECOS PAC ID | 4183955974 |
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Medicare Enrollment ID | O20220111001955 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982293718 | NPI | - | NPPES |
Provider Name | Pamela Lynn Breen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467515486 PECOS PAC ID: 0042117764 Enrollment ID: I20031218000888 |
Provider Name | David J Remmer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285608968 PECOS PAC ID: 2365431590 Enrollment ID: I20040511001379 |
Provider Name | George Toth |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295787521 PECOS PAC ID: 7012988363 Enrollment ID: I20040802001199 |
Provider Name | Pao Chu Hsu |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790723849 PECOS PAC ID: 6305886078 Enrollment ID: I20050512000169 |
Provider Name | Francis X Decandis |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346358892 PECOS PAC ID: 0547276081 Enrollment ID: I20060221000770 |
Provider Name | Wayne H Harris |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184672578 PECOS PAC ID: 3274515598 Enrollment ID: I20061101000133 |
Provider Name | George Malki |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1396705315 PECOS PAC ID: 9032211834 Enrollment ID: I20070226000341 |
Provider Name | Linda R Bell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235194580 PECOS PAC ID: 0042318305 Enrollment ID: I20070611000106 |
Provider Name | Mary K Cramer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598823999 PECOS PAC ID: 7517044639 Enrollment ID: I20080414000213 |
Provider Name | Farid Ahmed |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205018843 PECOS PAC ID: 0749355295 Enrollment ID: I20080818000440 |
Provider Name | Douglas P Friederich |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1710047253 PECOS PAC ID: 4688762867 Enrollment ID: I20081204000928 |
Provider Name | Jill H Curren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356569982 PECOS PAC ID: 0244391308 Enrollment ID: I20081208000241 |
Provider Name | Angelica U Doloroso |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194979393 PECOS PAC ID: 9436211778 Enrollment ID: I20081222000258 |
Provider Name | Daniel J Messcher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164455077 PECOS PAC ID: 4688603632 Enrollment ID: I20090421000156 |
Provider Name | Tina Gail Gaskin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235463266 PECOS PAC ID: 5395883243 Enrollment ID: I20091112000636 |
Provider Name | Laura J Yawnick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962723700 PECOS PAC ID: 2466577838 Enrollment ID: I20100909000478 |
Provider Name | Hursel L Adkins |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811092737 PECOS PAC ID: 7416854195 Enrollment ID: I20100928000329 |
Provider Name | Shari A Burbank |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922165208 PECOS PAC ID: 3779550165 Enrollment ID: I20101116000494 |
Provider Name | Maureen A Martling Weinberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699080044 PECOS PAC ID: 1052589348 Enrollment ID: I20110712000114 |
Provider Name | Houman Bolourian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1124150396 PECOS PAC ID: 5991871600 Enrollment ID: I20120716000450 |
Provider Name | Andrea M Patterson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215289921 PECOS PAC ID: 9638329634 Enrollment ID: I20121029000700 |
Provider Name | Angel E Llanio |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174812564 PECOS PAC ID: 6002056892 Enrollment ID: I20130627000573 |
Provider Name | Marvette S Tookes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275972077 PECOS PAC ID: 8628219912 Enrollment ID: I20130730000113 |
Provider Name | Cynthia L Kuhnert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063662955 PECOS PAC ID: 4981767886 Enrollment ID: I20130913000687 |
Provider Name | Jadira Rose Santos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457790883 PECOS PAC ID: 6002042116 Enrollment ID: I20131120000710 |
Provider Name | John Quitman Gowan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1164867255 PECOS PAC ID: 4082840632 Enrollment ID: I20131204000647 |
Provider Name | Jennifer Lynn Walkinshaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578994497 PECOS PAC ID: 5698903060 Enrollment ID: I20140109000835 |
Provider Name | Rachelle S Walton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164847083 PECOS PAC ID: 3072744614 Enrollment ID: I20140325001698 |
Provider Name | Aisha M Ladson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598181224 PECOS PAC ID: 8921221144 Enrollment ID: I20140515001260 |
Provider Name | Courtney B Fahnhorst Vidrine |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245526466 PECOS PAC ID: 0143449124 Enrollment ID: I20140924001743 |
Provider Name | Rebecca Nicole Thomas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033408984 PECOS PAC ID: 6800016668 Enrollment ID: I20140930002162 |
Provider Name | Tanisha N Maze |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437396652 PECOS PAC ID: 3577741529 Enrollment ID: I20141210002460 |
Provider Name | Sravan Thangeda |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487876439 PECOS PAC ID: 5294818928 Enrollment ID: I20151030001749 |
Provider Name | Beth Lanning |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699169870 PECOS PAC ID: 7315251592 Enrollment ID: I20160128001880 |
Provider Name | Diep B Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881050045 PECOS PAC ID: 3577860287 Enrollment ID: I20160323002420 |
Provider Name | Samantha D Sylvain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134504111 PECOS PAC ID: 6305138181 Enrollment ID: I20160714002405 |
Provider Name | Issa J Zeidan |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1932491867 PECOS PAC ID: 7416179536 Enrollment ID: I20160804000268 |
Provider Name | Roxene S Riles |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518416510 PECOS PAC ID: 8628357035 Enrollment ID: I20161107002329 |
Provider Name | Sharon L Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720299449 PECOS PAC ID: 8527213339 Enrollment ID: I20161119000263 |
Provider Name | Louis Ivey Padgett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154759025 PECOS PAC ID: 5294015590 Enrollment ID: I20161202000371 |
Provider Name | Raquel Perez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790223386 PECOS PAC ID: 9931485711 Enrollment ID: I20170410001556 |
Provider Name | Amber H Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831117027 PECOS PAC ID: 2567420359 Enrollment ID: I20170627001769 |
Provider Name | Stephanie Speights-sellers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841720240 PECOS PAC ID: 9931474301 Enrollment ID: I20171011001025 |
Provider Name | Shaunetra Toler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225576499 PECOS PAC ID: 3274899489 Enrollment ID: I20171103001225 |
Provider Name | Noleene Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235659129 PECOS PAC ID: 1456618214 Enrollment ID: I20171202000358 |
Provider Name | Habibu Barrie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558870345 PECOS PAC ID: 2163789728 Enrollment ID: I20171206003195 |
Provider Name | Natasha K Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154866820 PECOS PAC ID: 4385901834 Enrollment ID: I20171208000359 |
Provider Name | Christopher J Newhart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053821199 PECOS PAC ID: 8729346903 Enrollment ID: I20171215001580 |
Provider Name | Tracy Ramsay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164920021 PECOS PAC ID: 9638433105 Enrollment ID: I20180509000894 |
Provider Name | Srinivas Boppana |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679839252 PECOS PAC ID: 1355667064 Enrollment ID: I20180621002542 |
Provider Name | Allison N Conley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942706585 PECOS PAC ID: 3678828241 Enrollment ID: I20180622000512 |
Provider Name | Amanda Humphrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396237400 PECOS PAC ID: 2567712540 Enrollment ID: I20180912003301 |
Provider Name | Ma Glenda Abac Garcia |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235636192 PECOS PAC ID: 9638429624 Enrollment ID: I20180913000062 |
Provider Name | Jose N Fuentes |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285654319 PECOS PAC ID: 3678569357 Enrollment ID: I20181011000316 |
Provider Name | Latoya Gauntlett-freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063999738 PECOS PAC ID: 5991059123 Enrollment ID: I20181120000700 |
Provider Name | Jenny Jean Gregory |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063912392 PECOS PAC ID: 2567707987 Enrollment ID: I20181212003460 |
Provider Name | Mary Butler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760954473 PECOS PAC ID: 2466790498 Enrollment ID: I20190215002468 |
Provider Name | Judene P Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932600699 PECOS PAC ID: 5496093288 Enrollment ID: I20190221001271 |
Provider Name | Giselle Lopez-rosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659731982 PECOS PAC ID: 8820337496 Enrollment ID: I20190226000473 |
Provider Name | Allison Cale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316312770 PECOS PAC ID: 1456692839 Enrollment ID: I20190411002763 |
Provider Name | Jennifer E Mertiff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154986156 PECOS PAC ID: 1951637867 Enrollment ID: I20190731000624 |
Provider Name | Rameni G Rahim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972061448 PECOS PAC ID: 7113255563 Enrollment ID: I20190822001746 |
Provider Name | Chamnit Ford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376017087 PECOS PAC ID: 4486984184 Enrollment ID: I20190923002979 |
Provider Name | Tara Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447801972 PECOS PAC ID: 1456683861 Enrollment ID: I20191104001581 |
Provider Name | Gloria Felder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124503511 PECOS PAC ID: 2961747324 Enrollment ID: I20191112001717 |
Provider Name | Courtney Marie Sweeting |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861993818 PECOS PAC ID: 9830523547 Enrollment ID: I20200103001996 |
Provider Name | Jennifer L Tresso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700428596 PECOS PAC ID: 1759717119 Enrollment ID: I20200203000812 |
Provider Name | Loreana Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710439138 PECOS PAC ID: 5597044149 Enrollment ID: I20200512001891 |
Provider Name | Nitinkumar Doshi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154424372 PECOS PAC ID: 4688675515 Enrollment ID: I20200528001078 |
Provider Name | Rany Najeh Ahmad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124594007 PECOS PAC ID: 6507289980 Enrollment ID: I20200701001775 |
Provider Name | Maria V Otano |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1720571714 PECOS PAC ID: 9638413685 Enrollment ID: I20200803002352 |
Provider Name | Arun Matthew Abraham |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316477946 PECOS PAC ID: 9931525557 Enrollment ID: I20200813001350 |
Provider Name | Michael Shodeinde |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285166157 PECOS PAC ID: 2769755149 Enrollment ID: I20200825002525 |
Provider Name | Claudia Alcius |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578187902 PECOS PAC ID: 9537586813 Enrollment ID: I20200901002112 |
Provider Name | Aimee Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487286217 PECOS PAC ID: 9830517531 Enrollment ID: I20200911002172 |
Provider Name | Erica Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801204193 PECOS PAC ID: 5698097822 Enrollment ID: I20201111000667 |
Provider Name | Maria Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649877580 PECOS PAC ID: 5597175034 Enrollment ID: I20201111002831 |
Provider Name | Gina Vines |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366092074 PECOS PAC ID: 5092126615 Enrollment ID: I20201202001949 |
Provider Name | Kailla Raimer-harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609491885 PECOS PAC ID: 1557773595 Enrollment ID: I20201215002373 |
Provider Name | Amy Lynne Stein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609493881 PECOS PAC ID: 0648683235 Enrollment ID: I20201228000894 |
Provider Name | Rene Alcides Exposito |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669012431 PECOS PAC ID: 2365857851 Enrollment ID: I20210216000042 |
Provider Name | Chioma Echeazu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790189207 PECOS PAC ID: 0244646164 Enrollment ID: I20210301001802 |
Provider Name | Alexis Drayton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831715366 PECOS PAC ID: 1759797566 Enrollment ID: I20210302002929 |
Provider Name | Chevonne Jass Yamraj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700481199 PECOS PAC ID: 9739597204 Enrollment ID: I20210421002691 |
Provider Name | Maria E De La Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417428095 PECOS PAC ID: 0042629081 Enrollment ID: I20210504002057 |
Provider Name | Rachel A Mitnick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326664319 PECOS PAC ID: 5193134096 Enrollment ID: I20210505001868 |
Provider Name | Yessenia Maria Marte |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629562848 PECOS PAC ID: 6305245044 Enrollment ID: I20210528001035 |
Provider Name | Korin-marie Natarelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750952644 PECOS PAC ID: 2961804232 Enrollment ID: I20210708002263 |
Provider Name | Raga M Osman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1699924050 PECOS PAC ID: 4981766409 Enrollment ID: I20210713002595 |
Provider Name | Felicia R Bramwell Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861019457 PECOS PAC ID: 8325441181 Enrollment ID: I20210730002379 |
Provider Name | Amber Matarelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659954212 PECOS PAC ID: 3779987276 Enrollment ID: I20210805001514 |
Provider Name | Adam Ransford Corman |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1669608618 PECOS PAC ID: 1557505245 Enrollment ID: I20210823002710 |
Provider Name | Erica Devetia Waters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033797642 PECOS PAC ID: 8325445661 Enrollment ID: I20210929000693 |
Provider Name | Reham Hanna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881986586 PECOS PAC ID: 4385032432 Enrollment ID: I20211022001666 |
Provider Name | Shahid Hussain |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1457614505 PECOS PAC ID: 1951696053 Enrollment ID: I20220205000007 |
Provider Name | Trina D Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295969475 PECOS PAC ID: 7012182488 Enrollment ID: I20220215002301 |
Provider Name | William Narvaez Cruz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083389373 PECOS PAC ID: 7911391859 Enrollment ID: I20220218001296 |
Provider Name | Navil Maria Noguera |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992377436 PECOS PAC ID: 4880084631 Enrollment ID: I20220302001808 |
Provider Name | Michael P Mitchell-beam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568585768 PECOS PAC ID: 2264711837 Enrollment ID: I20220304001772 |
Provider Name | Jerry Childs |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1639137409 PECOS PAC ID: 1658307194 Enrollment ID: I20220310002991 |
Provider Name | Barbarann Erickson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780055541 PECOS PAC ID: 9739575424 Enrollment ID: I20220405003087 |
Provider Name | Carthia Joachim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265039820 PECOS PAC ID: 7214318914 Enrollment ID: I20220712003871 |
Provider Name | Tania Mowatt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124580451 PECOS PAC ID: 1052792553 Enrollment ID: I20220714002857 |
Provider Name | Danielle Mcarthur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104463728 PECOS PAC ID: 2961838826 Enrollment ID: I20220729002960 |
Provider Name | Laura Ferreira |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912521576 PECOS PAC ID: 6103200118 Enrollment ID: I20220825000044 |
Provider Name | Umara Saleem |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417337734 PECOS PAC ID: 1951649730 Enrollment ID: I20220905000390 |
Provider Name | Ruthann M Cunningham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427048552 PECOS PAC ID: 1658550058 Enrollment ID: I20221005003404 |
Provider Name | Muhammad A Iqbal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477088656 PECOS PAC ID: 9638584030 Enrollment ID: I20221017003341 |
Provider Name | Kelly Warren |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982188470 PECOS PAC ID: 5193079218 Enrollment ID: I20221018002480 |
Provider Name | Pooja Patel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821228644 PECOS PAC ID: 1052550688 Enrollment ID: I20230207003690 |
Provider Name | Sandra Marra |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346965894 PECOS PAC ID: 8224400320 Enrollment ID: I20230220001124 |
Provider Name | Diana L Sanchez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992366777 PECOS PAC ID: 2163897349 Enrollment ID: I20230403000108 |
Provider Name | Carolina Guitarrari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447636089 PECOS PAC ID: 9931461670 Enrollment ID: I20230404000895 |
Provider Name | Emily Novis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154033652 PECOS PAC ID: 1153789938 Enrollment ID: I20230627001411 |
Provider Name | Cheryl Eloise Suttles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952640690 PECOS PAC ID: 8426339060 Enrollment ID: I20230728001580 |
Provider Name | Dewyna Robinson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336374917 PECOS PAC ID: 1951763697 Enrollment ID: I20230814000572 |
Provider Name | Eddie Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992941280 PECOS PAC ID: 6406203405 Enrollment ID: I20231113003601 |
Provider Name | Smruthi Devalaraju |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1831719517 PECOS PAC ID: 9335562214 Enrollment ID: I20231214003396 |
Provider Name | Alisia Lewis |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1811387780 PECOS PAC ID: 6608227483 Enrollment ID: I20240105000930 |
Provider Name | Jennifer Crystal Caldwell |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1417134537 PECOS PAC ID: 9436514619 Enrollment ID: I20240110000100 |
Provider Name | Edward Scott Toler |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619152592 PECOS PAC ID: 3072964766 Enrollment ID: I20240118000780 |
Provider Name | Joanna Smith |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1679903041 PECOS PAC ID: 3173975679 Enrollment ID: I20240122001079 |
Provider Name | Debra Leona Hodge |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396107181 PECOS PAC ID: 2860844248 Enrollment ID: I20240122002322 |
Provider Name | Karen Kelley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932245339 PECOS PAC ID: 2961552591 Enrollment ID: I20240214002003 |
Great Strides Rehabilitation Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 430 College Dr Ste 107, Middleburg, FL 32068 Phone: 904-886-3228 Fax: 904-404-7743 | |
Clay Behavioral Health Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5571 | |
Clay Behavioral Health Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3292 County Road 220, Middleburg, FL 32068 Phone: 904-291-5561 | |
Clay Community Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2497 County Road 220, Middleburg, FL 32068 Phone: 904-801-5800 | |
Transitions Behavior Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4194 Sandhill Crane Ter, Middleburg, FL 32068 Phone: 904-738-4148 | |
Melcolm Mental Health Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4110 Osceola Trl, Middleburg, FL 32068 Phone: 904-502-9883 | |
Pca Plus Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 419-a College Dr., Suite 6, Middleburg, FL 32068 Phone: 904-272-5096 Fax: 904-272-5097 |