Pioneer Health Llc | |
5812 Old Pasco Rd Wesley Chapel FL 33544-4011 | |
(813) 333-9108 | |
(813) 333-9395 |
Full Name | Pioneer Health Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 5812 Old Pasco Rd, Wesley Chapel, Florida |
Authorized Official Name and Position | Syed Ifran Ali (OWNER) |
Authorized Official Contact | 8137796303 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pioneer Health Llc 13067 N Telecom Pkwy Temple Terrace FL 33637-0926 Ph: () - | Pioneer Health Llc 5812 Old Pasco Rd Wesley Chapel FL 33544-4011 Ph: (813) 333-9108 |
NPI Number | 1952862609 |
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Provider Enumeration Date | 03/26/2019 |
Last Update Date | 03/14/2024 |
Certification Date | 03/14/2024 |
Medicare PECOS PAC ID | 7810372877 |
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Medicare Enrollment ID | O20220913000418 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952862609 | NPI | - | NPPES |
Provider Name | Gabriel Pantol |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1679733364 PECOS PAC ID: 5991857005 Enrollment ID: I20141001000602 |
Provider Name | Brandy Jo Centers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225401573 PECOS PAC ID: 9234430067 Enrollment ID: I20151219000023 |
Provider Name | Stephanie E Maciver |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1669748398 PECOS PAC ID: 1052689023 Enrollment ID: I20170615000704 |
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