| Cabbage Palm Inpatient Services Llc | |
|
901 Clearwater Largo Rd N Largo FL 33770-4126 | |
| (727) 588-1991 | |
| Not Available |
| Full Name | Cabbage Palm Inpatient Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 901 Clearwater Largo Rd N, Largo, Florida |
| Authorized Official Name and Position | Karen Vaughn (OFFICER) |
| Authorized Official Contact | 9732511132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabbage Palm Inpatient Services Llc 5565 Centerview Dr Ste 107 Raleigh NC 27606-3563 Ph: () - | Cabbage Palm Inpatient Services Llc 901 Clearwater Largo Rd N Largo FL 33770-4126 Ph: (727) 588-1991 |
| NPI Number | 1336801133 |
|---|---|
| Provider Enumeration Date | 10/08/2021 |
| Last Update Date | 03/30/2023 |
| Medicare PECOS PAC ID | 2264690270 |
|---|---|
| Medicare Enrollment ID | O20120222000617 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336801133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jauvid B Ayadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619041332 PECOS PAC ID: 1557310828 Enrollment ID: I20050114000126 |
| Provider Name | Noman Subhani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427060243 PECOS PAC ID: 7012052558 Enrollment ID: I20100312000415 |
| Provider Name | Rebecca Tarrant Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447666573 PECOS PAC ID: 2264742824 Enrollment ID: I20170710000794 |
| Provider Name | Jean-edson Belcourt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033520812 PECOS PAC ID: 1254601628 Enrollment ID: I20170717003671 |
| Provider Name | Arnessa Williams Weston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689185258 PECOS PAC ID: 2062774334 Enrollment ID: I20180326002394 |
| Provider Name | Ali Mohammad Ahangari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992190888 PECOS PAC ID: 7416208244 Enrollment ID: I20180918003015 |
| Provider Name | Vahid Kazemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093246845 PECOS PAC ID: 1951732023 Enrollment ID: I20200506001189 |
| Provider Name | Blondine Charline Frometa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770179996 PECOS PAC ID: 4981013281 Enrollment ID: I20210517000493 |
| Provider Name | Tykema Octavia Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548805187 PECOS PAC ID: 3870981186 Enrollment ID: I20211019001182 |
| Provider Name | Loiyarinest Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114657343 PECOS PAC ID: 9234514282 Enrollment ID: I20220912003677 |
| Provider Name | Ramez Adel Massoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518594001 PECOS PAC ID: 2961846407 Enrollment ID: I20240222004106 |
| Provider Name | Michael Delzoppo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831725787 PECOS PAC ID: 3971943911 Enrollment ID: I20240424003327 |
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