| Cornerstone Integrated Healthcare | |
|
13355 Tamiami Trl Suite E North Port FL 34287-2186 | |
| (941) 426-1235 | |
| (941) 426-4464 |
| Full Name | Cornerstone Integrated Healthcare |
|---|---|
| Speciality | General Practice |
| Location | 13355 Tamiami Trl, North Port, Florida |
| Authorized Official Name and Position | Jeffre Price (OWNER) |
| Authorized Official Contact | 9414261235 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Integrated Healthcare 13355 Tamiami Trl Suite E North Port FL 34287-2186 Ph: (941) 426-1235 | Cornerstone Integrated Healthcare 13355 Tamiami Trl Suite E North Port FL 34287-2186 Ph: (941) 426-1235 |
| NPI Number | 1508221201 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 12/22/2015 |
| Medicare PECOS PAC ID | 0345521183 |
|---|---|
| Medicare Enrollment ID | O20170110000851 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508221201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Jeffre Ogilvie Price |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437118585 PECOS PAC ID: 7214987262 Enrollment ID: I20050127000112 |
| Provider Name | Brent C Price |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326037243 PECOS PAC ID: 4183720378 Enrollment ID: I20070504000145 |
| Provider Name | Curtis E Story |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912125451 PECOS PAC ID: 5890837587 Enrollment ID: I20100830000748 |
| Provider Name | Cristin Nicole Wooten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902289374 PECOS PAC ID: 1355642679 Enrollment ID: I20151210001454 |
| Provider Name | Linda Ritter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235799966 PECOS PAC ID: 7719219302 Enrollment ID: I20191031001650 |
| Provider Name | James Carl Abromaitis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184632192 PECOS PAC ID: 0143127647 Enrollment ID: I20220112000588 |
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