| Clermont Medical Center Pa | |
|
1135 Lake Ave Clermont FL 34711 | |
| (352) 394-4035 | |
| (352) 394-8585 |
| Full Name | Clermont Medical Center Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1135 Lake Ave, Clermont, Florida |
| Authorized Official Name and Position | Taryn Brenneis (OFFICE MANAGER) |
| Authorized Official Contact | 3526023456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clermont Medical Center Pa 1135 Lake Ave Clermont FL 34711 Ph: (352) 394-4035 | Clermont Medical Center Pa 1135 Lake Ave Clermont FL 34711 Ph: (352) 394-4035 |
| NPI Number | 1861557357 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 9830146737 |
|---|---|
| Medicare Enrollment ID | O20050404000139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861557357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Memory E Crowley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851486047 PECOS PAC ID: 9739136631 Enrollment ID: I20100924000975 |
| Provider Name | Christopher J Guzik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396762126 PECOS PAC ID: 6204000516 Enrollment ID: I20111123000418 |
| Provider Name | Gary M Winfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396034526 PECOS PAC ID: 4284895046 Enrollment ID: I20120423000355 |
| Provider Name | Kelley Winfrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386076321 PECOS PAC ID: 2163666868 Enrollment ID: I20130919000422 |
| Provider Name | Ivan L Negron |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1295771855 PECOS PAC ID: 0143530493 Enrollment ID: I20151117001418 |
| Provider Name | William Gottschalk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306231873 PECOS PAC ID: 7618225855 Enrollment ID: I20180806000479 |
| Provider Name | Shaunagh Diana Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306328067 PECOS PAC ID: 5597002063 Enrollment ID: I20190123000853 |
| Provider Name | Laura Lea Aul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801126461 PECOS PAC ID: 3870994148 Enrollment ID: I20210623003377 |
| Provider Name | Myriam Baltazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962077735 PECOS PAC ID: 6800292699 Enrollment ID: I20210902000049 |
| Provider Name | Cally Baker Dawber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982392635 PECOS PAC ID: 6305292228 Enrollment ID: I20231030002180 |
Medical Home Alliance Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 N Highway 27 Ste 4, Clermont, FL 34711 Phone: 352-404-8108 Fax: 352-404-8647 | |
Florida Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Citrus Tower Blvd, Suite 206, Clermont, FL 34711 Phone: 352-242-9600 Fax: 352-242-9605 | |
Compassionate Health Of Clermont Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9350 Us Highway 192 Ste 104, Clermont, FL 34714 Phone: 863-256-5206 Fax: 863-913-0534 | |
Mary Rose Boehm Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 E Highland Ave, Suite #2, Clermont, FL 34711 Phone: 352-242-1430 Fax: 352-242-1452 | |
South Lake Primary Care P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1503 Sunrise Plaza Dr, Clermont, FL 34714 Phone: 352-243-3800 Fax: 352-243-3804 | |
Osteoporosis And Arthritis Advanced Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3721 S Hwy 27 Ste B, Clermont, FL 34711 Phone: 407-355-7759 Fax: 407-355-4987 | |
Clermont Cardiac Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1725 E. State Road 50, Suite A, Clermont, FL 34711 Phone: 352-243-3517 |