| Center For Joint Health, Professional Corporation | |
|
10420 S Us 301 Ste 2 Riverview FL 33578-5806 | |
| (412) 801-2236 | |
| (813) 274-1946 |
| Full Name | Center For Joint Health, Professional Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 10420 S Us 301 Ste 2, Riverview, Florida |
| Authorized Official Name and Position | Darren Farnesi (PRESIDENT) |
| Authorized Official Contact | 6198579747 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Joint Health, Professional Corporation 10232 Bright Crystal Ave Riverview FL 33578-4287 Ph: (412) 801-2236 | Center For Joint Health, Professional Corporation 10420 S Us 301 Ste 2 Riverview FL 33578-5806 Ph: (412) 801-2236 |
| NPI Number | 1538755046 |
|---|---|
| Provider Enumeration Date | 12/18/2020 |
| Last Update Date | 10/11/2021 |
| Medicare PECOS PAC ID | 9739594003 |
|---|---|
| Medicare Enrollment ID | O20210218001349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538755046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| Provider Name | Sadiya A Farooqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710279591 PECOS PAC ID: 9436467941 Enrollment ID: I20151002001597 |
| Provider Name | Shelanda Charise Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528194131 PECOS PAC ID: 4587679014 Enrollment ID: I20191016000390 |
| Provider Name | Sarah Diana Weller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861082869 PECOS PAC ID: 3971918251 Enrollment ID: I20210218002010 |
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