| Troupe Health Medical Group, Pa | |
|
3918 S Kings Ave Brandon FL 33511-7749 | |
| (813) 603-2061 | |
| Not Available |
| Full Name | Troupe Health Medical Group, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3918 S Kings Ave, Brandon, Florida |
| Authorized Official Name and Position | Holly Hrabik (HEAD OF CLINICAL OPERATIONS) |
| Authorized Official Contact | 9136693321 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Troupe Health Medical Group, Pa 85 5th Ave Fl 8 New York NY 10003-3019 Ph: () - | Troupe Health Medical Group, Pa 3918 S Kings Ave Brandon FL 33511-7749 Ph: (813) 603-2061 |
| NPI Number | 1154184588 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 1153764675 |
|---|---|
| Medicare Enrollment ID | O20240508001933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154184588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Peter Samuel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548556715 PECOS PAC ID: 1254653918 Enrollment ID: I20170626002338 |
| Provider Name | Sarah Coleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255191011 PECOS PAC ID: 3577904507 Enrollment ID: I20240508002493 |
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