| Atlantis Clinic Pa | |
|
3705 Tampa Rd #22 Oldsmar FL 34677-6300 | |
| (813) 891-6343 | |
| (813) 891-6342 |
| Full Name | Atlantis Clinic Pa |
|---|---|
| Speciality | General Practice |
| Location | 3705 Tampa Rd, Oldsmar, Florida |
| Authorized Official Name and Position | Howard Nelson Chipman (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8138916343 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantis Clinic Pa 3705 Tampa Rd. Suite 22 Oldsmar FL 34677-6346 Ph: (813) 891-6343 | Atlantis Clinic Pa 3705 Tampa Rd #22 Oldsmar FL 34677-6300 Ph: (813) 891-6343 |
| NPI Number | 1417957325 |
|---|---|
| Provider Enumeration Date | 07/21/2005 |
| Last Update Date | 05/23/2024 |
| Medicare PECOS PAC ID | 6305916842 |
|---|---|
| Medicare Enrollment ID | O20080610000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417957325 | NPI | - | NPPES |
| 257635000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (Florida) | Primary |
| Provider Name | Howard Nelson Chipman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417956293 PECOS PAC ID: 0547240111 Enrollment ID: I20040723000345 |
| Provider Name | Jacqueline M Saeger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619903275 PECOS PAC ID: 5193885093 Enrollment ID: I20081121000717 |
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Community Health Center At Oldsmar Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3860 Tampa Rd Ste C, Oldsmar, FL 34677 Phone: 727-824-8181 | |
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