| Constance B Purser Md Pl | |
|
8936 77th Ter E Ste 102 Lakewood Ranch FL 34202-6419 | |
| (941) 361-1177 | |
| (941) 361-2422 |
| Full Name | Constance B Purser Md Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 8936 77th Ter E, Lakewood Ranch, Florida |
| Authorized Official Name and Position | Constance B Purser (OWNER) |
| Authorized Official Contact | 9413611177 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Constance B Purser Md Pl 8936 77th Ter E Suite 102 Lakewood Ranch FL 34202-6419 Ph: (941) 361-1177 | Constance B Purser Md Pl 8936 77th Ter E Ste 102 Lakewood Ranch FL 34202-6419 Ph: (941) 361-1177 |
| NPI Number | 1225209976 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 12/11/2008 |
| Medicare PECOS PAC ID | 1850467010 |
|---|---|
| Medicare Enrollment ID | O20080911000668 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225209976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME99579 (Florida) | Primary |
| Provider Name | Constance B Purser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922048719 PECOS PAC ID: 7315911088 Enrollment ID: I20080911000665 |
| Provider Name | Renee H Fletcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477562601 PECOS PAC ID: 3274537279 Enrollment ID: I20090912000149 |
| Provider Name | Teresa Pelayo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265047583 PECOS PAC ID: 4082028774 Enrollment ID: I20210120001098 |
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