| Brandon Premier Healthcare Pa | |
|
907 N Parsons Ave Brandon FL 33510-3107 | |
| (813) 689-8020 | |
| (813) 689-8381 |
| Full Name | Brandon Premier Healthcare Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 907 N Parsons Ave, Brandon, Florida |
| Authorized Official Name and Position | Hillary Lissorn Morgan (PRESIDENT) |
| Authorized Official Contact | 8136898020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Premier Healthcare Pa 907 N Parsons Ave Brandon FL 33510-3107 Ph: (813) 689-8020 | Brandon Premier Healthcare Pa 907 N Parsons Ave Brandon FL 33510-3107 Ph: (813) 689-8020 |
| NPI Number | 1548463599 |
|---|---|
| Provider Enumeration Date | 06/07/2007 |
| Last Update Date | 07/28/2017 |
| Medicare PECOS PAC ID | 3173423688 |
|---|---|
| Medicare Enrollment ID | O20040112000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548463599 | NPI | - | NPPES |
| 274805300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2750432 (Florida) | Secondary |
| Provider Name | Hillary L Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669589123 PECOS PAC ID: 6709783566 Enrollment ID: I20031218000558 |
| Provider Name | Steven C Bowman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013915404 PECOS PAC ID: 2567409782 Enrollment ID: I20050409000055 |
| Provider Name | Jorge L Perez Polanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538158761 PECOS PAC ID: 1759301815 Enrollment ID: I20051205000043 |
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Florida Medical Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1721 Brandon Main St Ste D, Brandon, FL 33511 Phone: 813-284-2220 | |
Care Plus Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519a E Bloomingdale Ave, Brandon, FL 33511 Phone: 813-655-4100 | |
Imad Al-nakshabendi M D P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 671 S Kings Ave, Brandon, FL 33511 Phone: 813-972-3750 Fax: 813-972-3749 |