| Careconnectmd Florida P.a. | |
|
10151 Deerwood Park Blvd Ste 250 Jacksonville FL 32256-0566 | |
| (888) 789-9585 | |
| (562) 803-4500 |
| Full Name | Careconnectmd Florida P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10151 Deerwood Park Blvd Ste 250, Jacksonville, Florida |
| Authorized Official Name and Position | Orlando Collado (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Florida P.a. 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (887) 899-5858 | Careconnectmd Florida P.a. 10151 Deerwood Park Blvd Ste 250 Jacksonville FL 32256-0566 Ph: (888) 789-9585 |
| NPI Number | 1912632886 |
|---|---|
| Provider Enumeration Date | 07/23/2022 |
| Last Update Date | 08/02/2022 |
| Medicare PECOS PAC ID | 7911389838 |
|---|---|
| Medicare Enrollment ID | O20220809000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912632886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra P Kloman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811181985 PECOS PAC ID: 9234290198 Enrollment ID: I20081210000521 |
| Provider Name | Misty J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396773917 PECOS PAC ID: 2961458112 Enrollment ID: I20140124000832 |
| Provider Name | Robert B Duffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720529282 PECOS PAC ID: 4082984463 Enrollment ID: I20170718000348 |
| Provider Name | Christopher R Denapoles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578973715 PECOS PAC ID: 0244596302 Enrollment ID: I20171107001100 |
| Provider Name | Shannon L Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326504374 PECOS PAC ID: 3072856095 Enrollment ID: I20190515000588 |
| Provider Name | Rosemary Castoreno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225135957 PECOS PAC ID: 8921009697 Enrollment ID: I20220506000296 |
| Provider Name | Orlando Collado |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1205964947 PECOS PAC ID: 8820143134 Enrollment ID: I20220809000619 |
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