| Carlos A Labrador Mdpa | |
|
6775 Crosswinds Dr N St Petersburg FL 33710-5471 | |
| (727) 381-8006 | |
| (727) 381-9629 |
| Full Name | Carlos A Labrador Mdpa |
|---|---|
| Speciality | Family Medicine |
| Location | 6775 Crosswinds Dr N, St Petersburg, Florida |
| Authorized Official Name and Position | Carlos A Labrador (PHYSICIAN) |
| Authorized Official Contact | 7273818006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos A Labrador Mdpa 65 65th St S St Petersburg FL 33707-1338 Ph: (727) 381-8006 | Carlos A Labrador Mdpa 6775 Crosswinds Dr N St Petersburg FL 33710-5471 Ph: (727) 381-8006 |
| NPI Number | 1376753350 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 11/23/2021 |
| Medicare PECOS PAC ID | 3274519681 |
|---|---|
| Medicare Enrollment ID | O20040626000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376753350 | NPI | - | NPPES |
| 269616900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME85732 (Florida) | Primary |
| Provider Name | Carlos Labrador |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245230796 PECOS PAC ID: 7810973229 Enrollment ID: I20040629000734 |
| Provider Name | Scott F Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861452104 PECOS PAC ID: 1254310139 Enrollment ID: I20040716000509 |
| Provider Name | Carlos R Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538164157 PECOS PAC ID: 4880666817 Enrollment ID: I20080819000738 |
| Provider Name | Lori Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477794741 PECOS PAC ID: 0547318354 Enrollment ID: I20090506000210 |
| Provider Name | Luke Carter Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366702441 PECOS PAC ID: 1951567767 Enrollment ID: I20151104001994 |
| Provider Name | Michelle A Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265852255 PECOS PAC ID: 9032484449 Enrollment ID: I20171011002711 |
| Provider Name | Christina Mccoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215376645 PECOS PAC ID: 9436443504 Enrollment ID: I20180220000730 |
| Provider Name | Julia Lynn Fossen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154028363 PECOS PAC ID: 4385009331 Enrollment ID: I20230427000883 |
| Provider Name | Richard A Gorman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598392706 PECOS PAC ID: 8628493020 Enrollment ID: I20230622002322 |
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