| Complete Care Llc | |
|
2400 N Courtenay Pkwy Ste 100 Merritt Island FL 32953-4127 | |
| (321) 985-9097 | |
| (321) 301-4869 |
| Full Name | Complete Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2400 N Courtenay Pkwy, Merritt Island, Florida |
| Authorized Official Name and Position | Don Smith (CEO) |
| Authorized Official Contact | 3212433733 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Care Llc 2400 N Courtenay Pkwy Ste 100 Merritt Island FL 32953-4127 Ph: (321) 985-9097 | Complete Care Llc 2400 N Courtenay Pkwy Ste 100 Merritt Island FL 32953-4127 Ph: (321) 985-9097 |
| NPI Number | 1801252457 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 10/05/2022 |
| Medicare PECOS PAC ID | 8123326113 |
|---|---|
| Medicare Enrollment ID | O20160407000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801252457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Tara C Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811074529 PECOS PAC ID: 4688656598 Enrollment ID: I20040603001398 |
| Provider Name | Carmen E Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740290246 PECOS PAC ID: 1850376302 Enrollment ID: I20040621000430 |
| Provider Name | Ana L Restrepo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841488277 PECOS PAC ID: 9133297583 Enrollment ID: I20081013000114 |
| Provider Name | Rachel M Loeffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003119520 PECOS PAC ID: 6002082443 Enrollment ID: I20120105000707 |
| Provider Name | Sabrina Blancas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477009553 PECOS PAC ID: 4587948641 Enrollment ID: I20170309000588 |
| Provider Name | Nichole E Venzara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043875545 PECOS PAC ID: 7012249980 Enrollment ID: I20191025000467 |
| Provider Name | Lauren N Loftis |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1528222064 PECOS PAC ID: 6608039474 Enrollment ID: I20200207001928 |
| Provider Name | Jordan Loftis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477711760 PECOS PAC ID: 0840351359 Enrollment ID: I20200623002183 |
| Provider Name | Erin Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396319935 PECOS PAC ID: 8224439609 Enrollment ID: I20210727000914 |
| Provider Name | Megan Leigh Shahlamian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073264347 PECOS PAC ID: 5496140170 Enrollment ID: I20220316000044 |
| Provider Name | Alana J Gainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356051171 PECOS PAC ID: 5193197895 Enrollment ID: I20230206002384 |
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