| Carespot Express Healthcare | |
|
1205 N University Dr Coral Springs FL 33071-6620 | |
| (954) 780-8134 | |
| (954) 227-2710 |
| Full Name | Carespot Express Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 1205 N University Dr, Coral Springs, Florida |
| Authorized Official Name and Position | Webster Golinkin (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9195500821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carespot Express Healthcare 10151 Deerwood Park Blvd Ste 200 Jacksonville FL 32256-0566 Ph: (904) 854-1545 | Carespot Express Healthcare 1205 N University Dr Coral Springs FL 33071-6620 Ph: (954) 780-8134 |
| NPI Number | 1851344378 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 5496762171 |
|---|---|
| Medicare Enrollment ID | O20060321000740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851344378 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Manuel A Garcia Herran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962504795 PECOS PAC ID: 6608774427 Enrollment ID: I20031230000534 |
| Provider Name | Evelyn S Bengston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881685758 PECOS PAC ID: 4385544253 Enrollment ID: I20040109000062 |
| Provider Name | David San Miguel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629194584 PECOS PAC ID: 2567364748 Enrollment ID: I20040127000514 |
| Provider Name | Timothy M Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003862277 PECOS PAC ID: 5991698441 Enrollment ID: I20040206000698 |
| Provider Name | Samuel Hopkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336137975 PECOS PAC ID: 4981507753 Enrollment ID: I20040304000033 |
| Provider Name | Mark A Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871558114 PECOS PAC ID: 3870482771 Enrollment ID: I20040310001273 |
| Provider Name | Gregory Bernard Listoe |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1871540062 PECOS PAC ID: 9638169725 Enrollment ID: I20040512000948 |
| Provider Name | James A Strine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1376599134 PECOS PAC ID: 4284629395 Enrollment ID: I20040614000103 |
| Provider Name | Liberto M Colombo |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1801871827 PECOS PAC ID: 5294719886 Enrollment ID: I20040614000112 |
| Provider Name | Floriane C Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659351401 PECOS PAC ID: 5597749507 Enrollment ID: I20040616001428 |
| Provider Name | Jock Sneddon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245206382 PECOS PAC ID: 8527047315 Enrollment ID: I20040715000780 |
| Provider Name | Luis Rene Cabrera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902912454 PECOS PAC ID: 1557340981 Enrollment ID: I20040719000430 |
| Provider Name | Nancy A Gulotta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275502908 PECOS PAC ID: 0345210803 Enrollment ID: I20040730000584 |
| Provider Name | Charles Sperrazza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922097658 PECOS PAC ID: 9133197007 Enrollment ID: I20040918000119 |
| Provider Name | Peter Erigoyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013997667 PECOS PAC ID: 8527037167 Enrollment ID: I20040929001160 |
| Provider Name | Girija Chandran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023058682 PECOS PAC ID: 8426017377 Enrollment ID: I20041006000711 |
| Provider Name | Cesar Hidalgo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104072883 PECOS PAC ID: 6901869221 Enrollment ID: I20041108001074 |
| Provider Name | Rajive K Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659348548 PECOS PAC ID: 2062478399 Enrollment ID: I20041208000169 |
| Provider Name | Nadeem M Maalouli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053379347 PECOS PAC ID: 6800846973 Enrollment ID: I20050126000660 |
| Provider Name | Lester D Estevez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275582298 PECOS PAC ID: 0941250047 Enrollment ID: I20050126000878 |
| Provider Name | Maile Naomi Akiko Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552517 PECOS PAC ID: 2567409709 Enrollment ID: I20050412000248 |
| Provider Name | Mark L Trach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215045984 PECOS PAC ID: 7113816380 Enrollment ID: I20050425000722 |
| Provider Name | Anju B Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497782809 PECOS PAC ID: 1052352002 Enrollment ID: I20050519000584 |
| Provider Name | Soheila C Zekri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295756633 PECOS PAC ID: 9931187408 Enrollment ID: I20050801000999 |
| Provider Name | Todd A Perla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235146408 PECOS PAC ID: 0840229308 Enrollment ID: I20050805000245 |
| Provider Name | Robert W Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942354204 PECOS PAC ID: 4284651175 Enrollment ID: I20051031000235 |
| Provider Name | Courtney Bolick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831316264 PECOS PAC ID: 7517985856 Enrollment ID: I20051105000009 |
| Provider Name | Marc W Thorpe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215985882 PECOS PAC ID: 1254348923 Enrollment ID: I20060321000697 |
| Provider Name | Kimberly G Mansell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952352239 PECOS PAC ID: 8729015359 Enrollment ID: I20070208000516 |
| Provider Name | Pennye B Arehart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821044140 PECOS PAC ID: 3274638630 Enrollment ID: I20070413000567 |
| Provider Name | Miguel A Rosada |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881650539 PECOS PAC ID: 0941305882 Enrollment ID: I20070420000363 |
| Provider Name | Dawn Rotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215141544 PECOS PAC ID: 7113014325 Enrollment ID: I20071106000097 |
| Provider Name | Allen M Ford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487738431 PECOS PAC ID: 3779671755 Enrollment ID: I20071109000166 |
| Provider Name | Carlos Barberis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598750564 PECOS PAC ID: 7719076363 Enrollment ID: I20071204000555 |
| Provider Name | Lilibeth Tulang Cuevas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396933057 PECOS PAC ID: 3678658416 Enrollment ID: I20080304000639 |
| Provider Name | Steven S Fine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962545533 PECOS PAC ID: 4183602394 Enrollment ID: I20080318000779 |
| Provider Name | Harriet Hodgkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097080 PECOS PAC ID: 1658443288 Enrollment ID: I20080626000381 |
| Provider Name | Rhonda A Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447308143 PECOS PAC ID: 4587737309 Enrollment ID: I20080725000707 |
| Provider Name | Joella Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104080761 PECOS PAC ID: 9830257021 Enrollment ID: I20081016000191 |
| Provider Name | Vincent H Ober |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669432423 PECOS PAC ID: 2365500055 Enrollment ID: I20081027000011 |
| Provider Name | Leon Camilo Uribe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023120664 PECOS PAC ID: 0547262412 Enrollment ID: I20081114000545 |
| Provider Name | Tahirih T Jensen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588759468 PECOS PAC ID: 9133194376 Enrollment ID: I20090106000336 |
| Provider Name | Philip P Gaillard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659325280 PECOS PAC ID: 0749338960 Enrollment ID: I20090428000206 |
| Provider Name | Marlene K Lambiaso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1528035706 PECOS PAC ID: 3678627486 Enrollment ID: I20090813000271 |
| Provider Name | Lisa R Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497999643 PECOS PAC ID: 4082769310 Enrollment ID: I20090909000667 |
| Provider Name | Linda Kramer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669449419 PECOS PAC ID: 1456497171 Enrollment ID: I20091012000234 |
| Provider Name | Venkata K.r. Pothuraju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194843763 PECOS PAC ID: 6709923790 Enrollment ID: I20091023000301 |
| Provider Name | Kurtis A Hostetter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962640276 PECOS PAC ID: 9234276783 Enrollment ID: I20091102000473 |
| Provider Name | Crystal A Hyder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760611537 PECOS PAC ID: 6305984667 Enrollment ID: I20091107000045 |
| Provider Name | Daniel Kessler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306003025 PECOS PAC ID: 3779621818 Enrollment ID: I20091111000196 |
| Provider Name | John J Kaufmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548293418 PECOS PAC ID: 7214086990 Enrollment ID: I20091113000313 |
| Provider Name | Melissa Tabor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144471152 PECOS PAC ID: 9931241528 Enrollment ID: I20100120000389 |
| Provider Name | Monica Rivas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386971398 PECOS PAC ID: 6507908605 Enrollment ID: I20100128000176 |
| Provider Name | Jeffrey Greenspan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780602847 PECOS PAC ID: 3678616489 Enrollment ID: I20100202000584 |
| Provider Name | Carlos Pardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083878698 PECOS PAC ID: 6406914191 Enrollment ID: I20100223000218 |
| Provider Name | Kenneth Joseph Urban |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609884899 PECOS PAC ID: 3971635848 Enrollment ID: I20100713000687 |
| Provider Name | Nancy Po Lim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215010061 PECOS PAC ID: 9638277114 Enrollment ID: I20100714001016 |
| Provider Name | Robert J Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285830257 PECOS PAC ID: 5092830729 Enrollment ID: I20100917000256 |
| Provider Name | Brian K Wiboon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952378929 PECOS PAC ID: 8628977238 Enrollment ID: I20100928001128 |
| Provider Name | Jennifer E Angell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689894149 PECOS PAC ID: 2668565177 Enrollment ID: I20101008001119 |
| Provider Name | Cathy C Underhill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437468147 PECOS PAC ID: 4486841798 Enrollment ID: I20101213001094 |
| Provider Name | Monique Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437452323 PECOS PAC ID: 7012190143 Enrollment ID: I20110325000737 |
| Provider Name | Karen Ann Stover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205895836 PECOS PAC ID: 2163606823 Enrollment ID: I20110405000796 |
| Provider Name | Alysia C Ogburia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053375782 PECOS PAC ID: 4385605534 Enrollment ID: I20110713000538 |
| Provider Name | Yvette Martinez Hochberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679688261 PECOS PAC ID: 7113811365 Enrollment ID: I20110809000461 |
| Provider Name | Marina A Yudis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083918460 PECOS PAC ID: 8820267305 Enrollment ID: I20110818000321 |
| Provider Name | Sally M Armistead |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134231236 PECOS PAC ID: 9830247295 Enrollment ID: I20110823000875 |
| Provider Name | Ivan Eduardo Lizarazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730337122 PECOS PAC ID: 2062537053 Enrollment ID: I20120118000650 |
| Provider Name | Abdul Jabbar Barhoush |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093746331 PECOS PAC ID: 4880854934 Enrollment ID: I20120327000523 |
| Provider Name | Christine Marie Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568748879 PECOS PAC ID: 1355502915 Enrollment ID: I20120409000625 |
| Provider Name | Kelly S Paradise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407116544 PECOS PAC ID: 0446406367 Enrollment ID: I20120809000072 |
| Provider Name | Janet L Revilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528329943 PECOS PAC ID: 8820246135 Enrollment ID: I20120911000705 |
| Provider Name | Stephanie L Dorsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568792893 PECOS PAC ID: 7810028347 Enrollment ID: I20121005000588 |
| Provider Name | Alexander Krishtul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316918147 PECOS PAC ID: 1355359670 Enrollment ID: I20121128000619 |
| Provider Name | Imani Goodwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669650156 PECOS PAC ID: 4385898477 Enrollment ID: I20130124000371 |
| Provider Name | Diana Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114952801 PECOS PAC ID: 6800891193 Enrollment ID: I20130125000366 |
| Provider Name | Linda Jean M Cass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881605814 PECOS PAC ID: 3173719929 Enrollment ID: I20130201000359 |
| Provider Name | Paul Michael Mazur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952647224 PECOS PAC ID: 1355596537 Enrollment ID: I20130220000331 |
| Provider Name | Kelly Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528302999 PECOS PAC ID: 7618113614 Enrollment ID: I20130417000651 |
| Provider Name | Lindsay Jewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770891988 PECOS PAC ID: 9739327362 Enrollment ID: I20130521000342 |
| Provider Name | Pamela H Postell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891083622 PECOS PAC ID: 4082884424 Enrollment ID: I20130708000570 |
| Provider Name | Carl Barry Dufour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912214099 PECOS PAC ID: 1052583648 Enrollment ID: I20130715000351 |
| Provider Name | Lisa M Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770662561 PECOS PAC ID: 4880835131 Enrollment ID: I20130729000672 |
| Provider Name | Jorge Benitez |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245405620 PECOS PAC ID: 8224299490 Enrollment ID: I20130807000055 |
| Provider Name | Toni S Baldwin-dufour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255343349 PECOS PAC ID: 8820194509 Enrollment ID: I20130815000702 |
| Provider Name | Sarah Lynn Blizzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093073579 PECOS PAC ID: 1254565252 Enrollment ID: I20131007000446 |
| Provider Name | Jennifer L Conant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821016858 PECOS PAC ID: 9931149507 Enrollment ID: I20131121001886 |
| Provider Name | Keisha D Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699003137 PECOS PAC ID: 6002042967 Enrollment ID: I20131122001853 |
| Provider Name | David L Priebe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194769166 PECOS PAC ID: 4284605940 Enrollment ID: I20140102000223 |
| Provider Name | Victor D Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861622060 PECOS PAC ID: 8527297381 Enrollment ID: I20140128000725 |
| Provider Name | Joel Robert Sukonik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225078017 PECOS PAC ID: 6204065626 Enrollment ID: I20140206000338 |
| Provider Name | Sarnia Leveille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881025666 PECOS PAC ID: 5496984742 Enrollment ID: I20140206001602 |
| Provider Name | Lyris C Verdura-dominic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770918948 PECOS PAC ID: 3274763578 Enrollment ID: I20140306001694 |
| Provider Name | Yvonne M Tyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013353143 PECOS PAC ID: 8224260286 Enrollment ID: I20140407001262 |
| Provider Name | Whitney M Conley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891932810 PECOS PAC ID: 9931257730 Enrollment ID: I20140428002014 |
| Provider Name | Marinelle Platon-jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912056789 PECOS PAC ID: 2961627930 Enrollment ID: I20140707001733 |
| Provider Name | Robert J Keenan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700299070 PECOS PAC ID: 9436374196 Enrollment ID: I20140714001155 |
| Provider Name | Anthony Tucker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356421366 PECOS PAC ID: 4880656040 Enrollment ID: I20140806001934 |
| Provider Name | James C Perin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992959712 PECOS PAC ID: 6002035284 Enrollment ID: I20140922000161 |
| Provider Name | Jamin Switzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326393075 PECOS PAC ID: 2567616436 Enrollment ID: I20141006001679 |
| Provider Name | Andrew G Neal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518198621 PECOS PAC ID: 8628114147 Enrollment ID: I20141007001445 |
| Provider Name | Wanda Alisa Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851576102 PECOS PAC ID: 3971723198 Enrollment ID: I20141009001610 |
| Provider Name | Susan Williams Thornton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306246723 PECOS PAC ID: 3476773524 Enrollment ID: I20141013001490 |
| Provider Name | Robin M James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093018277 PECOS PAC ID: 5890975692 Enrollment ID: I20141028002372 |
| Provider Name | David Lesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427036516 PECOS PAC ID: 1557582798 Enrollment ID: I20141031001144 |
| Provider Name | Doris J Danko |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073791067 PECOS PAC ID: 1254598170 Enrollment ID: I20150112001246 |
| Provider Name | Allison M Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134458862 PECOS PAC ID: 9638353196 Enrollment ID: I20150113001030 |
| Provider Name | Elizabeth Martone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982651964 PECOS PAC ID: 3779521620 Enrollment ID: I20150116001509 |
| Provider Name | Tracy R Hauke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497859110 PECOS PAC ID: 7810948577 Enrollment ID: I20150127000339 |
| Provider Name | Hannah Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891956041 PECOS PAC ID: 7214254242 Enrollment ID: I20150331002036 |
| Provider Name | Kelly N Du Shuttle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760875090 PECOS PAC ID: 1254659451 Enrollment ID: I20150420002169 |
| Provider Name | Lashandia King May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992193684 PECOS PAC ID: 5698094902 Enrollment ID: I20150508000987 |
| Provider Name | Jody Greenfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295874279 PECOS PAC ID: 6204017288 Enrollment ID: I20150520002619 |
| Provider Name | Carinne Shelley Thorne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700270279 PECOS PAC ID: 0941512263 Enrollment ID: I20150630000191 |
| Provider Name | Jonathan E Fountain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356334049 PECOS PAC ID: 7416197371 Enrollment ID: I20150723006985 |
| Provider Name | Dallas F Valentine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962784116 PECOS PAC ID: 7810160512 Enrollment ID: I20150805009222 |
| Provider Name | Carla F Rivera Y Pierola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841496692 PECOS PAC ID: 1557438280 Enrollment ID: I20151001000588 |
| Provider Name | Carlos Coloma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124442314 PECOS PAC ID: 0244540011 Enrollment ID: I20151106000280 |
| Provider Name | Gregory Matthew Cobb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235512401 PECOS PAC ID: 4385945765 Enrollment ID: I20151209002627 |
| Provider Name | Tracey A Mckreith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497185334 PECOS PAC ID: 3274762836 Enrollment ID: I20151214001665 |
| Provider Name | Yvon Petiote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750640751 PECOS PAC ID: 9931324332 Enrollment ID: I20151216001114 |
| Provider Name | Iris N Cedeno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063895340 PECOS PAC ID: 0941501936 Enrollment ID: I20151216001864 |
| Provider Name | Annette Darlene Beasley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063504207 PECOS PAC ID: 2860487667 Enrollment ID: I20160120002594 |
| Provider Name | Kristamarie F Collman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578909347 PECOS PAC ID: 5698915536 Enrollment ID: I20160121001225 |
| Provider Name | Michele Lee Trimble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346508389 PECOS PAC ID: 4587802954 Enrollment ID: I20160122001463 |
| Provider Name | Nicole Marie Mozealous |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275918203 PECOS PAC ID: 2567768195 Enrollment ID: I20160308002583 |
| Provider Name | Osmany Duany |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1578792412 PECOS PAC ID: 6305083924 Enrollment ID: I20160323001014 |
| Provider Name | Peri Sert |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1699072256 PECOS PAC ID: 6901105683 Enrollment ID: I20160502000850 |
| Provider Name | Mahendra R Sheth |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1538186978 PECOS PAC ID: 3274427596 Enrollment ID: I20160607000373 |
| Provider Name | Alexandra Gabriel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184050767 PECOS PAC ID: 3577790864 Enrollment ID: I20160823002225 |
| Provider Name | Nina D Galluzzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689920415 PECOS PAC ID: 8729213491 Enrollment ID: I20161012002822 |
| Provider Name | David K Douglass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780624353 PECOS PAC ID: 5092777151 Enrollment ID: I20161020001235 |
| Provider Name | Stacey R Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740487370 PECOS PAC ID: 8022107457 Enrollment ID: I20161028000795 |
| Provider Name | Angel M Quesada Pintor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184658759 PECOS PAC ID: 2961665120 Enrollment ID: I20170109001856 |
| Provider Name | Lorenzo O Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053722496 PECOS PAC ID: 4486870623 Enrollment ID: I20170123001639 |
| Provider Name | Tanya Steinlage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184028128 PECOS PAC ID: 3870892052 Enrollment ID: I20170203000707 |
| Provider Name | Radu A Segal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457445058 PECOS PAC ID: 7810081460 Enrollment ID: I20170222002694 |
| Provider Name | Travis Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912247263 PECOS PAC ID: 6103064480 Enrollment ID: I20170301000844 |
| Provider Name | Jennifer Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003365461 PECOS PAC ID: 9638453913 Enrollment ID: I20170306000967 |
| Provider Name | Daniel G Firth |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144532177 PECOS PAC ID: 9931358140 Enrollment ID: I20170425002778 |
| Provider Name | Joseph H Leaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487095980 PECOS PAC ID: 5991081028 Enrollment ID: I20170531001567 |
| Provider Name | Dorothy M Russ |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922395722 PECOS PAC ID: 0244464550 Enrollment ID: I20170628001610 |
| Provider Name | Aidan Raniere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023406717 PECOS PAC ID: 9537486006 Enrollment ID: I20170710001083 |
| Provider Name | James E Crumpton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518306430 PECOS PAC ID: 4981974904 Enrollment ID: I20170725001603 |
| Provider Name | Julian Diavanti |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871800664 PECOS PAC ID: 3678711470 Enrollment ID: I20170816004027 |
| Provider Name | Laurie L Scheid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326444340 PECOS PAC ID: 4082937008 Enrollment ID: I20170908001611 |
| Provider Name | Amjad S Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467588061 PECOS PAC ID: 0143594713 Enrollment ID: I20170920001633 |
| Provider Name | Yarines Gonzalez Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770803595 PECOS PAC ID: 5496079212 Enrollment ID: I20171020001697 |
| Provider Name | Olayinka D Ajayi |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1063773547 PECOS PAC ID: 2769786706 Enrollment ID: I20171101002965 |
| Provider Name | Vincent Mirarchi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235358607 PECOS PAC ID: 0648165274 Enrollment ID: I20171121001185 |
| Provider Name | John Albert Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396267373 PECOS PAC ID: 1557628013 Enrollment ID: I20171208000913 |
| Provider Name | Catherine A Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154844108 PECOS PAC ID: 5698034742 Enrollment ID: I20180117001481 |
| Provider Name | Jasmine Agnetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134518673 PECOS PAC ID: 1052631421 Enrollment ID: I20180126002404 |
| Provider Name | Tammy Vann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417476714 PECOS PAC ID: 9638430051 Enrollment ID: I20180228000824 |
| Provider Name | Jerome C Carolino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134176464 PECOS PAC ID: 5092765206 Enrollment ID: I20180416000815 |
| Provider Name | Joseph Bryan Beavers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205199437 PECOS PAC ID: 3678719697 Enrollment ID: I20180530001185 |
| Provider Name | Sheldon Jack Stein |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1770659575 PECOS PAC ID: 8820088859 Enrollment ID: I20180611000387 |
| Provider Name | Dawn Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821479809 PECOS PAC ID: 7810202454 Enrollment ID: I20180921001063 |
| Provider Name | Kim Patrice Eubanks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093765521 PECOS PAC ID: 7315998416 Enrollment ID: I20190308000682 |
| Provider Name | Kataceya Angela Lamanna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245709740 PECOS PAC ID: 5799027173 Enrollment ID: I20190506000752 |
| Provider Name | Victor Cisneros |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811409402 PECOS PAC ID: 8921368903 Enrollment ID: I20190529000310 |
| Provider Name | Adiena Amaro Herist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568846038 PECOS PAC ID: 1557694643 Enrollment ID: I20190604002595 |
| Provider Name | Mark Ragoonanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477119618 PECOS PAC ID: 7416281084 Enrollment ID: I20190702001119 |
| Provider Name | Jessica D Olavarria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578071387 PECOS PAC ID: 0547525800 Enrollment ID: I20190717002504 |
| Provider Name | Zachary Allen Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659874451 PECOS PAC ID: 9537495304 Enrollment ID: I20190731003657 |
| Provider Name | Brooke N Leone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629563846 PECOS PAC ID: 0244567725 Enrollment ID: I20190806002854 |
| Provider Name | Joanne K Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003328220 PECOS PAC ID: 8426389586 Enrollment ID: I20191004000524 |
| Provider Name | Sean Buckley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730559790 PECOS PAC ID: 7810293685 Enrollment ID: I20200408001062 |
| Provider Name | Thomas A Gionis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780638049 PECOS PAC ID: 0547157687 Enrollment ID: I20200409001070 |
| Provider Name | Penny R Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669016259 PECOS PAC ID: 3971933599 Enrollment ID: I20200423000097 |
| Provider Name | Megan Ashlee Natalie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518491109 PECOS PAC ID: 4981034311 Enrollment ID: I20200424002518 |
| Provider Name | Gary Cooperstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023010006 PECOS PAC ID: 6800082488 Enrollment ID: I20200507000165 |
| Provider Name | Cameale Smart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275799439 PECOS PAC ID: 7012188949 Enrollment ID: I20200528000819 |
| Provider Name | Stephanie O Agyemang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861927113 PECOS PAC ID: 2466716733 Enrollment ID: I20200610001468 |
| Provider Name | Justin M Dowd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316563927 PECOS PAC ID: 2264855840 Enrollment ID: I20200715001394 |
| Provider Name | Paul Lascuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124396957 PECOS PAC ID: 5193966588 Enrollment ID: I20200727001187 |
| Provider Name | Leanna Brooke Stebbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942822283 PECOS PAC ID: 1658796305 Enrollment ID: I20200729001144 |
| Provider Name | Nicole Renee Pitts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629426028 PECOS PAC ID: 0244527562 Enrollment ID: I20201001000177 |
| Provider Name | Alison Leigh Dowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598362006 PECOS PAC ID: 1658784707 Enrollment ID: I20210108001500 |
| Provider Name | Runali T Talati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144822701 PECOS PAC ID: 8921413683 Enrollment ID: I20210211000639 |
| Provider Name | Tamara Clarke Chin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639766793 PECOS PAC ID: 1052726304 Enrollment ID: I20210218000670 |
| Provider Name | Badar A Zaheer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720064660 PECOS PAC ID: 0042262180 Enrollment ID: I20210507000876 |
| Provider Name | Holly Joann Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093259210 PECOS PAC ID: 3577967264 Enrollment ID: I20210803000610 |
| Provider Name | Ashley Nicole Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073286449 PECOS PAC ID: 5597161976 Enrollment ID: I20210909003926 |
| Provider Name | Dahlia Khanns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326573270 PECOS PAC ID: 7416225537 Enrollment ID: I20211006001112 |
| Provider Name | Jennifer Fowlkes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992109896 PECOS PAC ID: 2961767272 Enrollment ID: I20220512002331 |
| Provider Name | Carissa L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609407469 PECOS PAC ID: 2163850975 Enrollment ID: I20220606002186 |
| Provider Name | Kristen N Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629703319 PECOS PAC ID: 0446634497 Enrollment ID: I20220825001437 |
| Provider Name | Dee Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906064 PECOS PAC ID: 9638576911 Enrollment ID: I20220830000568 |
| Provider Name | William Huff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356916969 PECOS PAC ID: 9436552882 Enrollment ID: I20221031001416 |
| Provider Name | Lurajean Cravens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730632100 PECOS PAC ID: 6305125089 Enrollment ID: I20221128000349 |
| Provider Name | Mechelle Marion-lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972886653 PECOS PAC ID: 9931345816 Enrollment ID: I20230306002565 |
| Provider Name | Glen Kay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689650830 PECOS PAC ID: 6608921531 Enrollment ID: I20240425000983 |
| Provider Name | Michelle Lee Debacker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932678489 PECOS PAC ID: 4880938703 Enrollment ID: I20240501000185 |
| Provider Name | Nilda Milagros Amador |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053050625 PECOS PAC ID: 9032593710 Enrollment ID: I20240501001495 |
| Provider Name | Ryan Austin Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760738728 PECOS PAC ID: 9436300654 Enrollment ID: I20240511000036 |
University Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5441 N University Dr, Suite 101, Coral Springs, FL 33067 Phone: 954-753-3910 | |
Kravitz Physician Services, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5150 Nw 82nd Ter, Coral Springs, FL 33067 Phone: 754-702-5348 Fax: 954-755-2830 | |
Florida Institute Of Health Ltd Lllp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8327 W Atlantic Blvd, Coral Springs, FL 33071 Phone: 954-755-2468 Fax: 954-755-5436 | |
Sound Physicians Of Florida Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 Coral Hills Dr, Coral Springs, FL 33065 Phone: 954-344-3000 | |
Gastro Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9750 Nw 33rd St Ste 208, Coral Springs, FL 33065 Phone: 954-341-3699 Fax: 954-341-3778 | |
Dial4md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 N University Dr Ste 217, Coral Springs, FL 33071 Phone: 954-439-0898 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 Coral Hills Dr Bldg I, Suite 370, Coral Springs, FL 33065 Phone: 786-408-8502 Fax: 305-402-0855 |