| Accord Medical Group,pllc | |
|
5112 N Habana Ave Tampa FL 33614-6873 | |
| (813) 374-2406 | |
| (813) 374-2407 |
| Full Name | Accord Medical Group,pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5112 N Habana Ave, Tampa, Florida |
| Authorized Official Name and Position | Philip Atigre (PRESIDENT AND CEO) |
| Authorized Official Contact | 8133404866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accord Medical Group,pllc 5112 N Habana Ave Tampa FL 33614-6873 Ph: (813) 374-2406 | Accord Medical Group,pllc 5112 N Habana Ave Tampa FL 33614-6873 Ph: (813) 374-2406 |
| NPI Number | 1528399276 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 2062685241 |
|---|---|
| Medicare Enrollment ID | O20111103000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528399276 | NPI | - | NPPES |
| 006556300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | April Rowell Gallo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477724474 PECOS PAC ID: 4880765403 Enrollment ID: I20080625000153 |
| Provider Name | Philip Atigre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871550483 PECOS PAC ID: 2163436700 Enrollment ID: I20091006000525 |
| Provider Name | Constance Anna Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366809329 PECOS PAC ID: 1658679303 Enrollment ID: I20160412002731 |
| Provider Name | Shrika Shonta Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821526393 PECOS PAC ID: 8224309687 Enrollment ID: I20170802003044 |
| Provider Name | Tolulope Folaranmi Ajani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164893756 PECOS PAC ID: 9133470982 Enrollment ID: I20180918003576 |
| Provider Name | Wilsania L Rodriguez Mendez Md |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952532566 PECOS PAC ID: 4284883794 Enrollment ID: I20181231000457 |
| Provider Name | Teresita D Hardin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235539925 PECOS PAC ID: 9830311885 Enrollment ID: I20200325001971 |
| Provider Name | Joel E Tellez Quiroga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750938247 PECOS PAC ID: 9133507734 Enrollment ID: I20220805002732 |
| Provider Name | Carol Blackwood Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013795889 PECOS PAC ID: 2365892296 Enrollment ID: I20231219001076 |
| Provider Name | Elaine Melissa Aquino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629502513 PECOS PAC ID: 9436576881 Enrollment ID: I20240515000046 |
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