| Advanced Physical Medicine Inc | |
|
953 N Semoran Blvd Orlando FL 32807-3528 | |
| (407) 282-3615 | |
| (407) 275-7221 |
| Full Name | Advanced Physical Medicine Inc |
|---|---|
| Speciality | General Practice |
| Location | 953 N Semoran Blvd, Orlando, Florida |
| Authorized Official Name and Position | Esther Pichardo (OWNER) |
| Authorized Official Contact | 4072823615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Physical Medicine Inc 953 N Semoran Blvd Orlando FL 32807-3528 Ph: (407) 282-3615 | Advanced Physical Medicine Inc 953 N Semoran Blvd Orlando FL 32807-3528 Ph: (407) 282-3615 |
| NPI Number | 1255690921 |
|---|---|
| Provider Enumeration Date | 05/15/2012 |
| Last Update Date | 06/04/2012 |
| Medicare PECOS PAC ID | 3072761097 |
|---|---|
| Medicare Enrollment ID | O20120918000157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255690921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME86204 (Florida) | Primary |
| Provider Name | Ralph Rosario-medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1326084674 PECOS PAC ID: 0345222956 Enrollment ID: I20040607000086 |
| Provider Name | Jamaal Akil Mcleod |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093800906 PECOS PAC ID: 8820031255 Enrollment ID: I20050607000774 |
| Provider Name | Gregory A Deramo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134196702 PECOS PAC ID: 1254360852 Enrollment ID: I20050804000185 |
| Provider Name | Esther Pichardo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720124183 PECOS PAC ID: 8527125384 Enrollment ID: I20090323000046 |
| Provider Name | Scarleth R Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164727236 PECOS PAC ID: 5698957355 Enrollment ID: I20110316001075 |
| Provider Name | Angel De Los Reyes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750628954 PECOS PAC ID: 8426203803 Enrollment ID: I20130311000319 |
| Provider Name | Jadira Rose Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457790883 PECOS PAC ID: 6002042116 Enrollment ID: I20131120000710 |
| Provider Name | Tami N Wilkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578970141 PECOS PAC ID: 7113148073 Enrollment ID: I20141020000607 |
| Provider Name | Michael P Lomonaco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316311202 PECOS PAC ID: 1658679048 Enrollment ID: I20160419000997 |
| Provider Name | Javier A Roman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093134868 PECOS PAC ID: 4385943869 Enrollment ID: I20160504002641 |
| Provider Name | Edwin Mejia Ortega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164909149 PECOS PAC ID: 9335485093 Enrollment ID: I20190117000126 |
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