| Accountable Care Hospitalist Group | |
|
10101 Forest Hill Blvd Wellington FL 33414-6103 | |
| (561) 766-1300 | |
| (561) 693-0539 |
| Full Name | Accountable Care Hospitalist Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 10101 Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | Jorge Daniel Ghiragossian (MANAGING MEMBER) |
| Authorized Official Contact | 5617621282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Accountable Care Hospitalist Group 1155 S Congress Ave Ste C Palm Springs FL 33406-5114 Ph: (561) 766-1300 | Accountable Care Hospitalist Group 10101 Forest Hill Blvd Wellington FL 33414-6103 Ph: (561) 766-1300 |
| NPI Number | 1659640282 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 11/04/2020 |
| Medicare PECOS PAC ID | 3678733342 |
|---|---|
| Medicare Enrollment ID | O20120404000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659640282 | NPI | - | NPPES |
| 103682200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ebrahim Hoosien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770522112 PECOS PAC ID: 9931012218 Enrollment ID: I20031112000171 |
| Provider Name | David Zeda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427042787 PECOS PAC ID: 3274439377 Enrollment ID: I20031210000081 |
| Provider Name | Felix S Elpedes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447262993 PECOS PAC ID: 3375530702 Enrollment ID: I20040429000326 |
| Provider Name | Jose A Barrios |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841297066 PECOS PAC ID: 9537157110 Enrollment ID: I20040503001333 |
| Provider Name | Mario F Guillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952345324 PECOS PAC ID: 3173505336 Enrollment ID: I20040602001255 |
| Provider Name | Maria R Zequeira |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609810878 PECOS PAC ID: 6709861388 Enrollment ID: I20040618001020 |
| Provider Name | Ejaz Nemat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588602460 PECOS PAC ID: 0446239495 Enrollment ID: I20040714001333 |
| Provider Name | Azucena Jumapao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790769560 PECOS PAC ID: 7810965258 Enrollment ID: I20040922001110 |
| Provider Name | Farooq Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053351643 PECOS PAC ID: 4284695594 Enrollment ID: I20041020000860 |
| Provider Name | Sonny V Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861402505 PECOS PAC ID: 6002872728 Enrollment ID: I20041206000594 |
| Provider Name | Stephen John Karman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255393476 PECOS PAC ID: 0547200693 Enrollment ID: I20050509000024 |
| Provider Name | Constantino Luis Regalado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134110521 PECOS PAC ID: 1951345966 Enrollment ID: I20050610000430 |
| Provider Name | Ismat A Hossain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619918141 PECOS PAC ID: 2567490683 Enrollment ID: I20050730000121 |
| Provider Name | Elias N Amador |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326039702 PECOS PAC ID: 3678504610 Enrollment ID: I20050830000028 |
| Provider Name | Antoinette G Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538196738 PECOS PAC ID: 0446270516 Enrollment ID: I20051205000206 |
| Provider Name | Petra U Neues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568411676 PECOS PAC ID: 1557344967 Enrollment ID: I20061017000079 |
| Provider Name | Monica Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477658276 PECOS PAC ID: 1355443490 Enrollment ID: I20070221000104 |
| Provider Name | Luis E Otero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902910664 PECOS PAC ID: 2466557913 Enrollment ID: I20070412000193 |
| Provider Name | Ali A Sultan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881788750 PECOS PAC ID: 7416053020 Enrollment ID: I20070427000328 |
| Provider Name | Romuald Altine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689743239 PECOS PAC ID: 0042316366 Enrollment ID: I20070503000189 |
| Provider Name | Sunil Ayyagari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841211851 PECOS PAC ID: 8325067895 Enrollment ID: I20070607000537 |
| Provider Name | Angel R Mesa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477761898 PECOS PAC ID: 1254426604 Enrollment ID: I20071001000589 |
| Provider Name | Sepalika Wasanthalal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1386741114 PECOS PAC ID: 6204924681 Enrollment ID: I20071119000337 |
| Provider Name | Mohammad Nawaz Nasar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548441876 PECOS PAC ID: 3577648617 Enrollment ID: I20080313000065 |
| Provider Name | Renee L Lancaster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265411870 PECOS PAC ID: 2961577416 Enrollment ID: I20080818000398 |
| Provider Name | Bhanmatie Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588830426 PECOS PAC ID: 6800954892 Enrollment ID: I20081020000507 |
| Provider Name | Emilio Grabiel Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134336951 PECOS PAC ID: 2769579432 Enrollment ID: I20081111000566 |
| Provider Name | Aleisha A Canik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093995235 PECOS PAC ID: 1759441835 Enrollment ID: I20081119000380 |
| Provider Name | Joseph A Ignacio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700062494 PECOS PAC ID: 0244380921 Enrollment ID: I20090618000479 |
| Provider Name | Andrew R Berkman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710060298 PECOS PAC ID: 8729124946 Enrollment ID: I20091001000327 |
| Provider Name | Glendese C Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902906373 PECOS PAC ID: 0345213088 Enrollment ID: I20100301000345 |
| Provider Name | Peter Cowen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598707200 PECOS PAC ID: 6406983964 Enrollment ID: I20100415000220 |
| Provider Name | James C Heron |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013964840 PECOS PAC ID: 0446387823 Enrollment ID: I20100415000559 |
| Provider Name | Marty Jacob |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851336028 PECOS PAC ID: 9234266438 Enrollment ID: I20100420000646 |
| Provider Name | Ravi Pandey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881675452 PECOS PAC ID: 5890823017 Enrollment ID: I20100510000434 |
| Provider Name | Darmaan O Aden |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1578696373 PECOS PAC ID: 0941393847 Enrollment ID: I20110119000813 |
| Provider Name | Leveny Corioland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992024988 PECOS PAC ID: 9638357221 Enrollment ID: I20110630000232 |
| Provider Name | Teresita C Co |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669604856 PECOS PAC ID: 6901074301 Enrollment ID: I20110728000592 |
| Provider Name | Rahonie Persaud Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861625089 PECOS PAC ID: 4082885173 Enrollment ID: I20110921000607 |
| Provider Name | Bina A Rashid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447469226 PECOS PAC ID: 3971760315 Enrollment ID: I20120213000706 |
| Provider Name | Tatiana M Passe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205126745 PECOS PAC ID: 9335305721 Enrollment ID: I20120731000069 |
| Provider Name | John Patrick Peters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275765950 PECOS PAC ID: 8325296361 Enrollment ID: I20120917000088 |
| Provider Name | Yuri Salas Espinosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679843494 PECOS PAC ID: 1658520168 Enrollment ID: I20120926000839 |
| Provider Name | Niki F Hector |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346471828 PECOS PAC ID: 5294984597 Enrollment ID: I20121002000206 |
| Provider Name | Diane B Voss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225386436 PECOS PAC ID: 3971754920 Enrollment ID: I20121121000452 |
| Provider Name | Tara D Darvill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149992 PECOS PAC ID: 5294988218 Enrollment ID: I20121226000192 |
| Provider Name | Shahbano J Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306097027 PECOS PAC ID: 5496922023 Enrollment ID: I20130325000480 |
| Provider Name | Nathalie Dominguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770820763 PECOS PAC ID: 6103064555 Enrollment ID: I20130524000581 |
| Provider Name | William A Gustave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720312739 PECOS PAC ID: 5092997767 Enrollment ID: I20130605000107 |
| Provider Name | Jean-marc F Geneve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124368279 PECOS PAC ID: 6901045822 Enrollment ID: I20130625000254 |
| Provider Name | Anna V Abel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154642676 PECOS PAC ID: 4385885912 Enrollment ID: I20130724000830 |
| Provider Name | Angela Marie Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801133855 PECOS PAC ID: 9032352687 Enrollment ID: I20130829000171 |
| Provider Name | Omar Mubaidin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710220140 PECOS PAC ID: 4789827072 Enrollment ID: I20130905000937 |
| Provider Name | Ricardo Aleman Chinea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104132927 PECOS PAC ID: 1951545136 Enrollment ID: I20130910000877 |
| Provider Name | Giezy Sardinas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760794556 PECOS PAC ID: 1254565286 Enrollment ID: I20131007001340 |
| Provider Name | Melissa M Lawler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457784258 PECOS PAC ID: 7113154261 Enrollment ID: I20131216001726 |
| Provider Name | Mahalah Louse U.j. Batto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598194441 PECOS PAC ID: 1850521055 Enrollment ID: I20140310001160 |
| Provider Name | Curtis Lawrence |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477856664 PECOS PAC ID: 9830334507 Enrollment ID: I20140813002373 |
| Provider Name | Berry Nmi Pierre |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851672844 PECOS PAC ID: 3173767936 Enrollment ID: I20140814000850 |
| Provider Name | Marie C Aliza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215355540 PECOS PAC ID: 4981823663 Enrollment ID: I20140910002503 |
| Provider Name | Shankar Krishnamoorthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861800179 PECOS PAC ID: 6901028075 Enrollment ID: I20141106000180 |
| Provider Name | Tsiala Mozaidze |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407134489 PECOS PAC ID: 4183846876 Enrollment ID: I20141113000625 |
| Provider Name | Dov A Pickholtz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649408493 PECOS PAC ID: 0648400416 Enrollment ID: I20141114001012 |
| Provider Name | Mondy Guillaume Molly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306277603 PECOS PAC ID: 8729302674 Enrollment ID: I20150123001055 |
| Provider Name | Christina P Stiles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750679908 PECOS PAC ID: 0042463184 Enrollment ID: I20150302002366 |
| Provider Name | Myrlene Miot-desmornes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194120642 PECOS PAC ID: 4880914464 Enrollment ID: I20150521001798 |
| Provider Name | Mark Anthony Gigliobianco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356636971 PECOS PAC ID: 1153633466 Enrollment ID: I20150629002848 |
| Provider Name | Zakiya Moyenda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073878138 PECOS PAC ID: 0143537563 Enrollment ID: I20150917001823 |
| Provider Name | Romesh S Gooneratne |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922409564 PECOS PAC ID: 4981908449 Enrollment ID: I20160204000375 |
| Provider Name | Jhoni Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295162451 PECOS PAC ID: 2769787241 Enrollment ID: I20160222000541 |
| Provider Name | Kerone P Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538470919 PECOS PAC ID: 1951520337 Enrollment ID: I20160622001704 |
| Provider Name | Carlos A Lopez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669863189 PECOS PAC ID: 5991090383 Enrollment ID: I20160824001869 |
| Provider Name | Javed F Patka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033557806 PECOS PAC ID: 8224323399 Enrollment ID: I20160829001235 |
| Provider Name | Alicia Joy Mull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285914325 PECOS PAC ID: 3971890906 Enrollment ID: I20160920000285 |
| Provider Name | Robert F Lapuma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386986453 PECOS PAC ID: 4880981356 Enrollment ID: I20160927001809 |
| Provider Name | Milfrane Miot Aristide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225406937 PECOS PAC ID: 4981982220 Enrollment ID: I20161020002173 |
| Provider Name | Monica Tarrant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649633553 PECOS PAC ID: 4789962648 Enrollment ID: I20161027000367 |
| Provider Name | Mohammad Alian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528301538 PECOS PAC ID: 9234417924 Enrollment ID: I20161101000735 |
| Provider Name | Tyteela L Abrams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053866228 PECOS PAC ID: 8426337874 Enrollment ID: I20161108001350 |
| Provider Name | Sowande Buckmire |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588001325 PECOS PAC ID: 1355624909 Enrollment ID: I20170207000177 |
| Provider Name | Marie C Dorsaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194181800 PECOS PAC ID: 6002101060 Enrollment ID: I20170216000366 |
| Provider Name | David Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578903654 PECOS PAC ID: 4880978840 Enrollment ID: I20170313000387 |
| Provider Name | Stacy D Emile |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083985121 PECOS PAC ID: 4981821790 Enrollment ID: I20170516001436 |
| Provider Name | Benson Abbi Babu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508015082 PECOS PAC ID: 5294898052 Enrollment ID: I20170616000342 |
| Provider Name | Angela P Blackman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396029187 PECOS PAC ID: 3678731395 Enrollment ID: I20170706002658 |
| Provider Name | Gustavo Enrique Durand-hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942696695 PECOS PAC ID: 2961772413 Enrollment ID: I20170717002315 |
| Provider Name | Anthony Tomasello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467906552 PECOS PAC ID: 9133490972 Enrollment ID: I20170811002870 |
| Provider Name | Lawrence P Nolan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598172413 PECOS PAC ID: 6002186368 Enrollment ID: I20170825000867 |
| Provider Name | Ashley Marie Debay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497168835 PECOS PAC ID: 2668744590 Enrollment ID: I20170828000836 |
| Provider Name | Erick Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265827158 PECOS PAC ID: 6204101041 Enrollment ID: I20171004003374 |
| Provider Name | Jose A Izquierdo Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235534215 PECOS PAC ID: 8022384239 Enrollment ID: I20171016001910 |
| Provider Name | Jossener Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003355710 PECOS PAC ID: 8921364589 Enrollment ID: I20171114003376 |
| Provider Name | Tamika Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922403104 PECOS PAC ID: 6608132147 Enrollment ID: I20171115003657 |
| Provider Name | Stephanie Duliepre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164944534 PECOS PAC ID: 9234402611 Enrollment ID: I20171213002501 |
| Provider Name | Herbert D Danowit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184608978 PECOS PAC ID: 0840329488 Enrollment ID: I20171220002609 |
| Provider Name | Kathryn M Faro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962865501 PECOS PAC ID: 6800157421 Enrollment ID: I20180222001977 |
| Provider Name | Jocelyne Sainthea Lacroix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891209607 PECOS PAC ID: 7012271125 Enrollment ID: I20180425002217 |
| Provider Name | Shellyann N Timmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043713530 PECOS PAC ID: 7618232919 Enrollment ID: I20180606002731 |
| Provider Name | Esther A Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518481191 PECOS PAC ID: 0941557672 Enrollment ID: I20180725003903 |
| Provider Name | Jacinth Salomie Henton-o'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538525597 PECOS PAC ID: 9931477551 Enrollment ID: I20180913003373 |
| Provider Name | Christopher B Zanto |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134505803 PECOS PAC ID: 5395089122 Enrollment ID: I20181205003500 |
| Provider Name | Frederick N Laborde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659754919 PECOS PAC ID: 4082950902 Enrollment ID: I20190115001383 |
| Provider Name | Jessica Ramirez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235524430 PECOS PAC ID: 8325331887 Enrollment ID: I20190125001476 |
| Provider Name | Jocelyn W Doughty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538674213 PECOS PAC ID: 7012254956 Enrollment ID: I20190130001476 |
| Provider Name | Santiago Torrents |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1255713806 PECOS PAC ID: 1355688102 Enrollment ID: I20190131003142 |
| Provider Name | Rose Fernande Toussaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760966428 PECOS PAC ID: 4486993177 Enrollment ID: I20190225000353 |
| Provider Name | Jonna Irish P Mullarkey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992111421 PECOS PAC ID: 1254670755 Enrollment ID: I20190227002946 |
| Provider Name | Rodolfo R Viton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457822645 PECOS PAC ID: 8123367240 Enrollment ID: I20190306002531 |
| Provider Name | Shalini Hemachandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659724573 PECOS PAC ID: 2668712423 Enrollment ID: I20190314001704 |
| Provider Name | Tamara Coleburn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609334531 PECOS PAC ID: 8628318615 Enrollment ID: I20190329001890 |
| Provider Name | Marie G Mengual |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841710464 PECOS PAC ID: 1850634023 Enrollment ID: I20190510001662 |
| Provider Name | Karen J Mclellan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669931283 PECOS PAC ID: 0042553190 Enrollment ID: I20190514000338 |
| Provider Name | Margaret Phyllishe Lott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356735393 PECOS PAC ID: 7113252008 Enrollment ID: I20190715002798 |
| Provider Name | Harry Leonard Freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972037299 PECOS PAC ID: 2264768043 Enrollment ID: I20190802002663 |
| Provider Name | Rosalie Magramo Del Valle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093376980 PECOS PAC ID: 7618309824 Enrollment ID: I20191108001528 |
| Provider Name | Laforest Leandre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740728807 PECOS PAC ID: 9436582780 Enrollment ID: I20191127002165 |
| Provider Name | Michelle Ruddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508411158 PECOS PAC ID: 7416381975 Enrollment ID: I20191217000758 |
| Provider Name | Colleen Gail Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194961979 PECOS PAC ID: 6709060593 Enrollment ID: I20200127000241 |
| Provider Name | Dona Swanson Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558923920 PECOS PAC ID: 8325475379 Enrollment ID: I20200304000060 |
| Provider Name | Kelly Jo Mcintosh-freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174080253 PECOS PAC ID: 8224365929 Enrollment ID: I20200317000611 |
| Provider Name | Falgun S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164678843 PECOS PAC ID: 0446381909 Enrollment ID: I20200324001041 |
| Provider Name | Linda Tatoute |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285276246 PECOS PAC ID: 8820427479 Enrollment ID: I20200401003204 |
| Provider Name | Gilbert Jean Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225676901 PECOS PAC ID: 4486085131 Enrollment ID: I20200512003572 |
| Provider Name | Edzer Desarmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669002382 PECOS PAC ID: 7911327762 Enrollment ID: I20201015002071 |
| Provider Name | Christina Lynn Shovick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568077618 PECOS PAC ID: 4688088347 Enrollment ID: I20210121000540 |
| Provider Name | Angelica Everingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689200180 PECOS PAC ID: 5799199469 Enrollment ID: I20210121000932 |
| Provider Name | Harsimar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679917306 PECOS PAC ID: 1850679796 Enrollment ID: I20210127003383 |
| Provider Name | Tricia Lyn Maccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336621135 PECOS PAC ID: 0143636951 Enrollment ID: I20210302002804 |
| Provider Name | Carole L Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417410655 PECOS PAC ID: 1456767177 Enrollment ID: I20210304000519 |
| Provider Name | Sluvia Algarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780274183 PECOS PAC ID: 9537575550 Enrollment ID: I20210316002764 |
| Provider Name | Jean E Orelus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700478286 PECOS PAC ID: 4284041849 Enrollment ID: I20210326000048 |
| Provider Name | Christopher Led's Giscard Jerome |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508360967 PECOS PAC ID: 8921417015 Enrollment ID: I20210430001156 |
| Provider Name | Johnny Michel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699268649 PECOS PAC ID: 2668716770 Enrollment ID: I20210520000272 |
| Provider Name | Joshua Shinoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760986293 PECOS PAC ID: 4880009372 Enrollment ID: I20210607001575 |
| Provider Name | Yolanda Florvil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568074342 PECOS PAC ID: 5597161281 Enrollment ID: I20210903001288 |
| Provider Name | Marlyn Morejon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740890466 PECOS PAC ID: 7618374471 Enrollment ID: I20210921001428 |
| Provider Name | Aji P Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528632726 PECOS PAC ID: 3678961745 Enrollment ID: I20211021001812 |
| Provider Name | Nicole Rosevear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477185973 PECOS PAC ID: 3577953512 Enrollment ID: I20211206001062 |
| Provider Name | Abelardo Escriba Omar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578051355 PECOS PAC ID: 0345631800 Enrollment ID: I20211217001148 |
| Provider Name | Guerbie Alcime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952996415 PECOS PAC ID: 4789078031 Enrollment ID: I20220302001080 |
| Provider Name | Juliette Powell Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301299 PECOS PAC ID: 4082001482 Enrollment ID: I20220504001685 |
| Provider Name | Mauricio Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912467382 PECOS PAC ID: 6204213291 Enrollment ID: I20220512001725 |
| Provider Name | Cindy Millstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144994708 PECOS PAC ID: 8224417787 Enrollment ID: I20220614001714 |
| Provider Name | Carol Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760027767 PECOS PAC ID: 8628458809 Enrollment ID: I20220706000667 |
| Provider Name | Mercedes M Pena Fuentes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124775226 PECOS PAC ID: 3870974892 Enrollment ID: I20220721001163 |
| Provider Name | Kenson Belizaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180352 PECOS PAC ID: 3173916038 Enrollment ID: I20220730000401 |
| Provider Name | Rafael E Segura Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982251070 PECOS PAC ID: 5890171680 Enrollment ID: I20221001000005 |
| Provider Name | Tamar Pascal Sauveur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649924390 PECOS PAC ID: 3173909678 Enrollment ID: I20221006003284 |
| Provider Name | Danish Fakhar Malik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639608300 PECOS PAC ID: 5496153504 Enrollment ID: I20230111000058 |
| Provider Name | Minhas Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457968315 PECOS PAC ID: 1557728003 Enrollment ID: I20230529000321 |
| Provider Name | Bukir Zeiad Aswad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528229242 PECOS PAC ID: 4981872926 Enrollment ID: I20230623001816 |
| Provider Name | Armanda Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093421984 PECOS PAC ID: 0143689802 Enrollment ID: I20230629000399 |
| Provider Name | Su Yee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992334817 PECOS PAC ID: 1951761089 Enrollment ID: I20230720001328 |
| Provider Name | Lucy Elveus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306621701 PECOS PAC ID: 9739543182 Enrollment ID: I20230918004090 |
| Provider Name | Danraj Akeem Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518741784 PECOS PAC ID: 7012371347 Enrollment ID: I20230919003582 |
| Provider Name | Katia Mendez Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270779 PECOS PAC ID: 5799139895 Enrollment ID: I20230922002563 |
| Provider Name | Nicholas Stephen Venuti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932491750 PECOS PAC ID: 3971775313 Enrollment ID: I20230926002610 |
| Provider Name | Magalita Deronvil Sauveur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497431340 PECOS PAC ID: 3476907890 Enrollment ID: I20231003003009 |
| Provider Name | Andrew Lelchuk |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1063073906 PECOS PAC ID: 4587012539 Enrollment ID: I20231130003526 |
| Provider Name | Natacha Depeine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679139745 PECOS PAC ID: 5294187522 Enrollment ID: I20240123000117 |
| Provider Name | Ada Sofia Bello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699556803 PECOS PAC ID: 7113360868 Enrollment ID: I20240213001795 |
| Provider Name | Katherine Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649854001 PECOS PAC ID: 9638517311 Enrollment ID: I20240401000456 |
| Provider Name | Erin Lee Salim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689342834 PECOS PAC ID: 4880055672 Enrollment ID: I20240417004201 |
| Provider Name | Eboni Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902668684 PECOS PAC ID: 7315387388 Enrollment ID: I20240425000083 |
| Provider Name | Reny Cherian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780173997 PECOS PAC ID: 7618214172 Enrollment ID: I20240515001394 |
| Provider Name | Joanne E Pantano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265417059 PECOS PAC ID: 4880881424 Enrollment ID: I20240520002285 |
| Provider Name | Win Si Thu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326625625 PECOS PAC ID: 9335581800 Enrollment ID: I20240529003225 |
On Call Wound Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12798 Forest Hill Blvd Ste 205b, Wellington, FL 33414 Phone: 844-620-9701 Fax: 561-877-5596 | |
Affordable Medical Clinic Of Wellii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12773 Forest Hill Blvd Ste 1203, Wellington, FL 33414 Phone: 561-758-2271 | |
South Florida Center Of Gastroenterology, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 W Forest Hill Blvd, Suite 100, Wellington, FL 33414 Phone: 561-798-2425 Fax: 561-798-6356 | |
Advanced Imaging Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12794 W. Forest Hill Blvd., Suite 30, Wellington, FL 33414 Phone: 561-795-6868 Fax: 561-795-6869 | |
Western Communities Family Practice Assoc Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 Forest Hill Blvd, Suite 200, Wellington, FL 33414 Phone: 561-793-5155 Fax: 561-793-4375 | |
Wellington Family Practice Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10131 W Forest Hill Blvd, Suite 130, Wellington, FL 33414 Phone: 561-795-2878 Fax: 561-795-0464 | |
Western Communities Internal Medicine Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10115 Forest Hill Blvd, Suite 104, Wellington, FL 33414 Phone: 561-793-1117 Fax: 561-793-1762 |