| Carillon Sports And Family Medicine Pa | |
|
12225 28th St N Suite B St Petersburg FL 33716-1860 | |
| (727) 561-4303 | |
| (727) 561-9299 |
| Full Name | Carillon Sports And Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 12225 28th St N, St Petersburg, Florida |
| Authorized Official Name and Position | Adam A Brunson (PRESIDENT) |
| Authorized Official Contact | 7275614303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carillon Sports And Family Medicine Pa 12225 28th St N Suite B St Petersburg FL 33716-1860 Ph: (727) 561-4303 | Carillon Sports And Family Medicine Pa 12225 28th St N Suite B St Petersburg FL 33716-1860 Ph: (727) 561-4303 |
| NPI Number | 1275730970 |
|---|---|
| Provider Enumeration Date | 06/27/2007 |
| Last Update Date | 05/12/2011 |
| Medicare PECOS PAC ID | 0547232563 |
|---|---|
| Medicare Enrollment ID | O20040810001278 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275730970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | ME80751 (Florida) | Primary |
| Provider Name | Melissa Fehr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952624900 PECOS PAC ID: 5294911590 Enrollment ID: I20110523000345 |
| Provider Name | Adam Brunson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023011913 PECOS PAC ID: 7618949645 Enrollment ID: I20110927000089 |
| Provider Name | Matthew Wayne Vermeer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740522242 PECOS PAC ID: 4486929924 Enrollment ID: I20171009002503 |
John E Kern Do Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5838 9th Ave N, St Petersburg, FL 33710 Phone: 727-347-8132 Fax: 727-347-3560 | |
My Kit Free Florida Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6707 38th Ave N, St Petersburg, FL 33710 Phone: 727-800-9958 Fax: 855-552-3776 | |
Pedro J Morales Md & Tim P Carlson Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2191 9th Ave No, Suite 220, St Petersburg, FL 33713 Phone: 727-327-9667 Fax: 727-321-1655 | |
Bay Area Endoscopy Center Limited Partnership Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5771 49th St N, St Petersburg, FL 33709 Phone: 727-528-2261 Fax: 727-526-7071 | |
American Family & Geriatric Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5880 49th St N, Suite 101 N, St Petersburg, FL 33709 Phone: 727-527-8788 Fax: 727-527-8828 | |
Remmel Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6416 9th St N, St Petersburg, FL 33702 Phone: 727-525-1141 Fax: 727-525-1195 | |
Women's Health Care St. Pete Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6450 38th Ave N, Suite 320, St Petersburg, FL 33710 Phone: 727-344-1234 |