| Cano Medical Center Of West Florida Llc | |
|
4160 N Armenia Ave Ste A Tampa FL 33607 | |
| (813) 673-8245 | |
| (954) 432-5060 |
| Full Name | Cano Medical Center Of West Florida Llc |
|---|---|
| Speciality | General Practice |
| Location | 4160 N Armenia Ave Ste A, Tampa, Florida |
| Authorized Official Name and Position | Marlow Blas Hernandez (CEO) |
| Authorized Official Contact | 9545149360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cano Medical Center Of West Florida Llc 4160 N Armenia Ave Ste A Tampa FL 33607-6453 Ph: (813) 673-8245 | Cano Medical Center Of West Florida Llc 4160 N Armenia Ave Ste A Tampa FL 33607 Ph: (813) 673-8245 |
| NPI Number | 1700387644 |
|---|---|
| Provider Enumeration Date | 02/26/2018 |
| Last Update Date | 04/21/2020 |
| Medicare PECOS PAC ID | 4486902400 |
|---|---|
| Medicare Enrollment ID | O20180808001932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700387644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (Florida) | Primary |
| Provider Name | Orlando Rangel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942379466 PECOS PAC ID: 2668418302 Enrollment ID: I20050705000768 |
| Provider Name | Leonel Camejo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326008947 PECOS PAC ID: 2264459254 Enrollment ID: I20051028000598 |
| Provider Name | Juan Carlos Fernandez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275656449 PECOS PAC ID: 4981766250 Enrollment ID: I20081219000443 |
| Provider Name | Gonzalo A Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053319699 PECOS PAC ID: 8325223696 Enrollment ID: I20110502000496 |
| Provider Name | Raul Ernesto Ayala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710970710 PECOS PAC ID: 8224205356 Enrollment ID: I20120113000065 |
| Provider Name | Jose Ernesto Alvarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548313950 PECOS PAC ID: 8527225473 Enrollment ID: I20120203000194 |
| Provider Name | Arnaldo V Orellana Molina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477844652 PECOS PAC ID: 5799932653 Enrollment ID: I20120828000500 |
| Provider Name | Rene E Disotuar Abad |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780019026 PECOS PAC ID: 5890939128 Enrollment ID: I20130926000267 |
| Provider Name | Luz M Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083032734 PECOS PAC ID: 7416177571 Enrollment ID: I20141013002164 |
| Provider Name | Fernando Silva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558777425 PECOS PAC ID: 8325365604 Enrollment ID: I20150325002224 |
| Provider Name | Jorge L Acevedo Vazquez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1609853225 PECOS PAC ID: 1254349731 Enrollment ID: I20151106000852 |
| Provider Name | Marie Confident Barroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487189049 PECOS PAC ID: 5193096113 Enrollment ID: I20170809000584 |
| Provider Name | Juan Felipe Ortiz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003354184 PECOS PAC ID: 9638437924 Enrollment ID: I20171214000311 |
| Provider Name | Myriam Chevres Ferreira |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1487764726 PECOS PAC ID: 2365486545 Enrollment ID: I20181008002933 |
| Provider Name | Karla Francheska Miranda Medina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1093073454 PECOS PAC ID: 8628320280 Enrollment ID: I20181009001847 |
| Provider Name | Yamilet Perera Delgado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659857449 PECOS PAC ID: 9931441102 Enrollment ID: I20190509000026 |
| Provider Name | Jorge M Gomez Bustamanate |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184133050 PECOS PAC ID: 5597092908 Enrollment ID: I20190808000305 |
| Provider Name | Maria Haydeli Caceres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790260693 PECOS PAC ID: 9537496690 Enrollment ID: I20190812003355 |
| Provider Name | Guillermo Buenaventura Gonzalez Lemes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851879175 PECOS PAC ID: 0840626438 Enrollment ID: I20200129002714 |
| Provider Name | Jorge Enrique Castillo Molina |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306474010 PECOS PAC ID: 6305265588 Enrollment ID: I20201008000298 |
| Provider Name | Zulayne Vera |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871850412 PECOS PAC ID: 0648435842 Enrollment ID: I20201014002073 |
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Eugene A Ward M.d. Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 | |
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