| Bay Area Medical Clinic Pa | |
|
37900 Daughtery Rd Zephyrhills FL 33541-1316 | |
| (813) 715-4446 | |
| (813) 780-7786 |
| Full Name | Bay Area Medical Clinic Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 37900 Daughtery Rd, Zephyrhills, Florida |
| Authorized Official Name and Position | Syed Ali Safdar (PRESIDENT) |
| Authorized Official Contact | 8137154446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Medical Clinic Pa Po Box 48589 Tampa FL 33647-0122 Ph: (813) 715-4446 | Bay Area Medical Clinic Pa 37900 Daughtery Rd Zephyrhills FL 33541-1316 Ph: (813) 715-4446 |
| NPI Number | 1275671745 |
|---|---|
| Provider Enumeration Date | 02/04/2007 |
| Last Update Date | 05/26/2015 |
| Medicare PECOS PAC ID | 7416941000 |
|---|---|
| Medicare Enrollment ID | O20040414001562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275671745 | NPI | - | NPPES |
| CK2071 | Other | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0070811 (Florida) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | ME0041877 (Florida) | Secondary |
| Provider Name | Wali Khan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1174521603 PECOS PAC ID: 8224939525 Enrollment ID: I20040601000754 |
| Provider Name | Santo Cravotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093761769 PECOS PAC ID: 6608886908 Enrollment ID: I20060502000230 |
| Provider Name | Jose Villaplana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760446793 PECOS PAC ID: 2365540036 Enrollment ID: I20070604000293 |
| Provider Name | Lokie Indar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518977289 PECOS PAC ID: 8022164714 Enrollment ID: I20090922000350 |
| Provider Name | Ron Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326207382 PECOS PAC ID: 3577605351 Enrollment ID: I20100115000674 |
| Provider Name | Syed Ali Safdar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760486237 PECOS PAC ID: 3173517760 Enrollment ID: I20110111000120 |
| Provider Name | Stephanie L Wechsler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598179467 PECOS PAC ID: 7315166915 Enrollment ID: I20140912002014 |
| Provider Name | Elizabeth Oluwaseun Layokun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184192676 PECOS PAC ID: 5395079339 Enrollment ID: I20190626000525 |
| Provider Name | Elizabeth Ann Hale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366072951 PECOS PAC ID: 0547697864 Enrollment ID: I20200227000235 |
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