Associates In Infectious Diseases | |
1801 Se Hillmoor Dr Ste C 207 Port St Lucie FL 34952-7553 | |
(772) 335-4234 | |
(772) 335-4236 |
Full Name | Associates In Infectious Diseases |
---|---|
Speciality | Internal Medicine |
Location | 1801 Se Hillmoor Dr, Port St Lucie, Florida |
Authorized Official Name and Position | Moti Ramgopal (CEO) |
Authorized Official Contact | 7724649746 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Associates In Infectious Diseases 356 E Midway Rd Fort Pierce FL 34982-7148 Ph: (772) 464-9746 | Associates In Infectious Diseases 1801 Se Hillmoor Dr Ste C 207 Port St Lucie FL 34952-7553 Ph: (772) 335-4234 |
NPI Number | 1336156934 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 10/06/2015 |
Medicare PECOS PAC ID | 4486689957 |
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Medicare Enrollment ID | O20051004000220 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336156934 | NPI | - | NPPES |
260879900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Jennifer Lynne Kuretski |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184950404 PECOS PAC ID: 8426242942 Enrollment ID: I20101028001256 |
Provider Name | Brenda Lee Jacobs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538138599 PECOS PAC ID: 0648456046 Enrollment ID: I20110519000621 |
Provider Name | Moti N Ramgopal |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1457329450 PECOS PAC ID: 5092740563 Enrollment ID: I20110525000143 |
Provider Name | Berjan Collin |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1457329468 PECOS PAC ID: 7315123494 Enrollment ID: I20110526000039 |
Provider Name | Darla Bagwell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801884028 PECOS PAC ID: 4587806344 Enrollment ID: I20130924000502 |
Provider Name | Anamaria Rodriguez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417396672 PECOS PAC ID: 8426286766 Enrollment ID: I20140114000771 |
Provider Name | Oscar Martinez Lopez |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104104264 PECOS PAC ID: 1254558067 Enrollment ID: I20140818002015 |
Provider Name | Angela R Trodglen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629533674 PECOS PAC ID: 3072854272 Enrollment ID: I20190417000893 |
Provider Name | Renette Gabriel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982002788 PECOS PAC ID: 6103251814 Enrollment ID: I20200127000454 |
Provider Name | Lisa R Cason |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568804862 PECOS PAC ID: 2567690993 Enrollment ID: I20210323002780 |
Provider Name | Candice T Joseph |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1700232667 PECOS PAC ID: 1557690765 Enrollment ID: I20220503002542 |
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