Caritas In Home Primary Care, Llc | |
23715 Ne Highway 314 Salt Springs FL 32134-6239 | |
(352) 414-1644 | |
(352) 358-3584 |
Full Name | Caritas In Home Primary Care, Llc |
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Speciality | Nurse Practitioner |
Location | 23715 Ne Highway 314, Salt Springs, Florida |
Authorized Official Name and Position | Rachel Pellum (OWNER) |
Authorized Official Contact | 3524141644 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Caritas In Home Primary Care, Llc 5022 Eulace Rd Jacksonville FL 32210-9409 Ph: () - | Caritas In Home Primary Care, Llc 23715 Ne Highway 314 Salt Springs FL 32134-6239 Ph: (352) 414-1644 |
NPI Number | 1023646171 |
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Provider Enumeration Date | 04/01/2020 |
Last Update Date | 04/01/2020 |
Medicare PECOS PAC ID | 8628409489 |
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Medicare Enrollment ID | O20200511002024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023646171 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Primary |
Provider Name | Rachel Robinson Pellum |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699059709 PECOS PAC ID: 3779721493 Enrollment ID: I20130607000215 |
Provider Name | Krista R Collins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366634743 PECOS PAC ID: 4183762859 Enrollment ID: I20150914000247 |
Provider Name | Alethea B Brown |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073065330 PECOS PAC ID: 5698056471 Enrollment ID: I20170110002400 |
Provider Name | Tiffany Terpstra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356988646 PECOS PAC ID: 3779903729 Enrollment ID: I20210816003258 |
Provider Name | Erwin V Torralba |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245802545 PECOS PAC ID: 7810378932 Enrollment ID: I20220721000902 |
Provider Name | Katrina Kutta |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598492381 PECOS PAC ID: 6204210214 Enrollment ID: I20220824003877 |
Provider Name | Heather Apling Rowell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255041950 PECOS PAC ID: 3577925791 Enrollment ID: I20230818002278 |
Provider Name | Dania Marie Gargano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487428736 PECOS PAC ID: 0749627388 Enrollment ID: I20240319002045 |
Provider Name | Erin Mackenzie Crews |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518718675 PECOS PAC ID: 6204378268 Enrollment ID: I20240605001728 |